Network Status 1
Agent says "This provider is participating." This type of benefit should be collected.
What is 'In Network'?
This is another term for non-participating.
What is 'OON'? (or Out of Network?)
If the provider is OON, this is the next prompt.
'What is the network status of the practice'?
A doctor or practice that agrees to accept a discounted rate for covered services.
What is 'INN' or 'participating'?
This is the scenario in which both in and out of network benefits are collected.
What is 'Never'.
The provider is OON, and the practice is INN, but at a different address. What are the appropriate selections on the platform?
What is 'Out of Network for provider, In Network at Different Address for practice'?
The agent voluntarily provides the network status of the provider prior to being asked. This information cannot be taken since it was provided before being prompted. True or False.
What is 'False'?
The Network status is prefilled as yes, and the agent asked,"Are you participating with your local?" on a BCBS call. What should be your response?
What is "Yes."
The network status is prefilled as INN but the agent voluntarily states that the provider is OON. What do you select from the drop down and what is your next prompt?
What is 'Unlock and mark INN and what is the network status of the practice'?
When collecting both INN & OON, the agent says the plan only has coverage OON for emergencies. What is our next step?
What is 'still attempt to collect INN only'?