What is that Service?
What is that Mentor?
Benefit Basics
What is that Service?
100

Office Visit with Neurologist? 

Physician/Practitioner services or Specialist Office Visit 

100

What is the main mentor we use for VOB calls? 

VOB for Group Medicare

100

What is the C/I for Benefit Verification calls? 

Benefits/Verification 

100

Office Visit with Primary Care Physician? 

PCP or Physician/Practitioner services

200

Cataract Surgery? 

Outpatient Surgery 

200

Which VOB Mentor can help us understand specific benefits better? 

Verification of Benefits Table of Contents

200

What is the disclaimer you must provide on EVERY benefit call? 

 "This information is only an estimation of benefits. All payments are based on Medicare policy guidelines, medical necessity, and member eligibility at the time of service."

200

Biopsy? 

Outpatient Surgery 

300

In Home Physical Therapy? 

Home Health Care 

300

Which VOB Mentor would you use for Acupuncture? 

Alternative Medicine VOB Template

300

If DEBUT is down, what application should you use? 

HOWIE 

300

Wheelchair? 

Durable Medical Equipment (DME) 

400

Continuous  Glucose Monitor? 

Durable Medical Equipment (DME) 

400

Which VOB Mentor would you use for Diabetic Supplies? 

Diabetic VOB Template

400

What type of benefits are you NOT trained to provide? 

Behavioral Health, Bariatric, & Transgender Services. 

400

Bloodwork? 

Laboratory Services

500

Feeding Tube Supplements? 

Part B Medications 

500

Which VOB Mentor would you use for Cochlear Implants? 

Hearing VOB Template

500

Where do we go for Medical Accums in CAS? 

MAI Screen 

500

Blood Glucose Monitor? 

Diabetic Self-Monitoring Supplies 

M
e
n
u