This insurance requires authorization to be submitted online with the clinical submission form
What is Optum and UHC?
100
UHC
What is 71?
100
a fixed amount the patient pays each visit
What is a copay?
100
the coins for a patient with an 80/20% coins when the deductible has been met
What is $20.
100
Cigna healthsprings
What is IN Network?
200
This insurance will make the effective date of the auth the date that you fax it in.
What is Humana/Orthonet?
200
Aetna
What is 74
200
the amount the patient has to pay before the insurance will pay anything
What is deductible
200
Coins for an Aetna patient with 80/20% coins that has met their deductible.
What is $14.80?
200
Wellcare
What is OUT OF NETWORK
300
This insurance requires auth BEFORE the patient is seen?
What is Humana GOLD HMO, Tricare, Cigna Healthsprings?
300
Coventry
What is $65?
300
Patient will not have any cost share after this is met.
What is out of pocket max?
300
Pt has not met 5000 deducible and has a coin of 10%. This is what the patient will have to pay each visit
What is suggest to pay around 100 a visit to go towards the deductible.
300
BCBS
What is IN NETWORK (even though they tell our patients we are out of network. GRRR)
400
This is typically required to submit for more auth.
What is POC or RX?
400
Cigna
What is 75?
400
The patient pays this as a % of the cost share.
What is Coinsurance?
400
Patient has 20 visit limit a year. Patient was seen at another PT facility for 10 visits. Patient has this many visits left.
What is 10?
400
THERAMATRIX
What is OUT OF NETWORK
500
True or False. A patient is authorized 12 visits with a specific date range. The patient has exceeded the date range but can still come because they still have visits left.
What is FALSE?
500
AARP Medicare Complete
What is $65?
500
An account that the patient puts money into to pay for health care services.
What is Flex or HSA?
500
Pt has met deductible and out of pocket max. This is what the patient owes.