Benefits
Allowance for Eye glass Frames
What is $65
Never discuss with member
NPI 1063468007
Who is Candy Birch
Check number 28201 paid to
Who is Norman W.Bryant
Other insurance information is found on this tab.
What is the OPL Tab
The link used in scripts and codes to gather wellness benefits
What is the Preventive Benefits Link
High priority touch points are identified by
What is the color red
This provider is contracted with which network
What is the True Blue PPO
When the feedings have been approved and documented by an In-Network Physician as the sole source of nutrition.
What is enteral feeding prior approval.
5- Preferred Provider Organization
What is the provider class.
Physical Therapy Benefits for 60009501901
What is 40 copay, 0% coinsurance, 7900 oop/ 431.96 fam 15800.00/1371.68 0 Visits used
When a member is under 18 and is not the caller, and the alert advises they have authorization to speak.
What is engage the caller
The steps taken to determine if a provider has opted out of metallic plans
What is select the flag.
Requires Prior Approval if exceeds $5000.00
What is Orthotic and Prosthetics
This is sent by the home to the local to advise on how the claim was processed.
What is a DF.
Correct Schedule that corresponds to member id 60009501901
16-313-A
You should never do this with the BTP Screen
What is close it.
Obstetrics and Gynecology
What is the provider specialty.
Requires PA if inpatient admission exceeds 48 hour or 96 hours
What is Maternity
DOS for On-Exchange SCCF 01020192180007700
What is 03/13/2019
Manually covered at 100% of the plans allowable, Electric Max allowance $160, Hospital Grade rental only up to 6 months $50
What are Breast Pump Benefits
You should listen for these to complete you active listening touchpoint
What are the 7 chronic conditions
The provider uses this method to receive RA's
Cosmetic Surgery, Acupuncture, Weight Loss
What is a Plan Exclusion
The provider for On Exchange Sccf 01020192180007700
What is Highlands Treatment Center