Programs
Where do we look to find out why a prescription denied?
CVS Health
What are the exclusions for PT and OT?
What benefit line has to be on the plan for CPAP to be covered?
Sleep Disorders (Studies)
What candy/ you combo is banned in the US, but legal in Canada?
Kinder Surprise
When does Pediatric vision coverage end?
When the member turns 19, usually the last day of the month, May be different for a custom plan
If a provider submitted a claim through a clearing house which program would we want to look that up in?
RDV
Do WA Direct ind plans allow you to add vision to their policy?
NO
What email address do you need to email to get a Docusign sent to a member?
MBRDocs@pacificsource.com
What was the most popular toy in 1992?
Talking Barney
How many months does a CPAP need to be rented for before it is Converted to a Purchase?
3 months
Where would you find out if there is a PA in progress?
CT viewer
What email address do you provide to new group inquires?
salessupport@pacificsource.com
What Student plan has two separate member plans?
One for Medical, One for Contraceptive
University of Portland
What was the first toy to be advertised on TV?
Mt. Potato Head
What is the Exclusion for Breast pumps?
Hospital Grade
What program would we want to look into for a Genetic Testing PA if not in CT viewer?
AIM
Where did Courtney go on Vacation to?
St Louis Missouri
What resource page would you find information for TOS 6310 and 6311?
Hearing Aids
What was the first video game console created?
Magnavox Odyssey
(1972)
How many visits are allowed with no PA for IOP mental health and Substance use disorder?
36 visits per year
If a member calls in wanting to know if a Self Submit claim has been received which systems will we look into if not in Facets?
On Base
Which one group requires Referrals?
FMRI
What page would you pull to find out how to see how much of the first dollar amount has been used?
Member Accumulator
Play-Dough was originally invented for what Purpose?
Cleaning Wallpaper
What benefit are you quoting for Mental health PHP?
Mental Health Residential