This is the timeframe for someone to recieve a claim form via mail
What is 2-5 BD
100
What is the general customer proclaim code?
What is 74505
100
What is the name of the SOP for Network Adequacy
What is Network Adequacy Provision Policy Home Page
100
what sop would you go to for quoting coverage
What is coverage call pp2538
100
what 10 states do we offer individual plans in?
What is AZ, CA, CO, CT, FL, GA, NC, SC, TN, TX
200
This is the timeframe for a document to be faxed via graphnet
what is 30 minutes
200
if someone has concerns about their mycigna.com website and you cannot assist them, what transfer code would you dial?
What is 74380
200
What is the mile radius stipulation of a network adequacy if you are looking for a primary care physician
What is 25 miles
200
in what sop does it tall you breast pump coverage
What is preventive care call
200
What is the name of our Third Party Vendor who handles authorizations for Chiropractic and/or Physical therapy in select areas?
Who is American Specialty Health (ASH)
300
This is the timeframe for an id card to be recieved
What is 7-10 BD
300
If someone is calling from California and they are interested in an individual policy where would you transfer them to?
What is 79303
300
Double Jeopardy question---
if you miss this question double the points are deducted
if you get it right double the points are added
Network adequacy does not apply to what services
What is
•Services provided by a tertiary facility
•Transplant-related services
•Urgent/emergent care
•Telemedicine
300
if you need to verify if a procedure code is only allowed for certain diagnosis' what sop would you go to
What is PXDX listing
300
WHAT DOES THE C IN CIGNA STAND FOR????
What is CUSTOMER!
400
if you place a stop payment/ reissue request this is the timeframe to expect.
What is 10-15 BD
400
where would you transfer a customer if they were calling in regards to a PET CT or CAT scan?
What is Advanced Radiology at 74506
400
What department handles the Network adequacy request
What is Precertification
400
This SOP takes you to a tool that allows you to view if a CPT requires a Precertification
What is CSA lookup tool
400
Double Jeopardy question---
if you miss this question double the points are deducted
if you get it right double the points are added
Where would you transfer a HCP if they wanted a customers Advanced radiology or Physical therapy Benefits?
What is YOU WOULD NOT TRANSFER
500
if an eligibility verification letter is sent out how long would it take for the customer to recieve
mail
and
fax
What is 10-15 BD for mailing
faxing 30 minutes
500
if you recieve a hospital vertical account, what code would you transfer them to for Proclaim
What is 78187
500
what is the mile stipulation for a facility for a Network adequacy
What is 50 miles
500
what sop would you go to in order to get a phone number for Evicore/Medsolutions and what is the phone number
What is
vendor listing call handling guide
8886933211