MICHAEL ZUNIGA:919854641
THOMAS SEARCH:951622781
RICHA LAKHOTIA 959395925
TODD MUILENBURG 946457121
THOMAS WALKER 963003581
100
What is the Original Eff Date:
What is Original Eff Date: 01/01/2015
100
What is the set number for this plan?
What is 084
100
How is the Depo Provera covered?
What is Depo Provera Female contraceptive services, supplies and voluntary sterilization are covered the same as Preventive Care Benefits as defined under the Health Resources and Services Administration (HRSA) requirement. 100% of eligible expenses. INN and 50% of eligible expenses after satisfying $1,500 deductible. OON
100
What fax number can Todd use to fax in claim information?
What is 248-733-6000
100
Why was ORS 1499 routed and where was it sent to?
What is MEMBER DOES NOT HAVE ANY OI UPDATED CDB TO REFLECT PLEASE TAKE A SECONDLOOK INTO CLAIMS FROM 07/2016-10/17/2016 THANK YOU. ROUTED TO UNET RR2 NTNL TEAM/NMODL DOLLAR REVIEW
200
What is the address the member would use to send in a claim?
What is RICHARDSON/SPRGFLD SRVC CNTR PO BOX 30555 SALT LAKE CITY , UT 84130, 0555
200
What is the Claim Filing Limit
What is You must submit a request for payment of Benefits within 15 months from the date of service. If you don't provide this information to us within 15 months from the date of service, Benefits for that health service will be denied or reduced, in our or the Claims Administrator’s discretion. This time limit does not apply if you are legally incapacitated. If your claim relates to an Inpatient Stay, the date of service is the date your Inpatient Stay ends. With respect to this claim filing limit, “you” refers to the member.
200
How many visits of Pulmonary rehabilitation therapy does the plan cover?
What is Any combination of Network and Non-Network Benefits is limited as follows 156 visits of pulmonary rehabilitation therapy per calendar year.
200
What is the customer service number?
What is 1-888-697-8323
200
DOS 10/17/16, When did we originally receive the claim? Why did we deny the claim? What day did we reprocess the claim
What is 10/19/2016, COB - LACK OF INFORMATION: THIS CLAIM IS BEING DENIED BECAUSE OUR RECORDS INDICATE YOU HAVE PRIMARY MEDICAL INSURANCE WITH ANOTHER COMPANY (OTHER THAN MEDICARE). Reprocess date 10/28/16
300
What are the numbers listed on this account?
What is 602-228-4647, 602-493-3119
300
What benefit would an ultrasound be covered under?
What is Lab, X-Ray and Diagnostics - Outpatient
300
What is the patient responsibility for DOS 10/4/16
What is $42.02
300
What is the status for notification number 9467335201
What is P-PEND ZZ-PRIOR AUTHORIZATION/NOTIFICATION CANCELLED
300
What service and CPT code was requested in notification number A004000580
What is 76948 Ultrasonic guidance for aspiration of ova, imaging supervision and interpretation
400
Which claim billed 81240 F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G?
What is DOS 6/29/15 Memorial Hermann Labs
400
What is the POS for DOS 3/17/16, Tyler memorial Hospital?
What is Outpatient Hospital
400
What is the benefit for Routine pre-natal? INN?
What is Routine pre-natal: 100% of eligible expenses
400
DOS 2/24/16 Radiology Consultants , what modifier did they bill?
What is 26
400
What does FLN 9101612376076 include?
What is Health insurance claim form, Aetna EOB
500
When did we receive FLN 9101617569108 and how many pages did we receive?
What is 6/23/2016, 21 pages.
500
DOS 9/1/16 Check number QG 69389316 payment was $784.38, but what was the total amount of the payment?
What is $10137.12
500
What is the INN Second Surgical Opinion benefit?
What is Second Surgical Opinion This is not a required service to obtain benefits. Physician Office Services: $30 PCP/ $60 Specialist copay per visit then 100% of eligible expenses. Outpatient Professional 80% of eligible expenses after satisfying $750 deductible.
500
How many bills did we get from Tara Hunke, and what CPT codes did they bill?
What is 3 claims, 83516, 82784, 84443, 86140, 36415
500
What is the benefit maximum for infertility services?
What is Any combination of Network Benefits and Non-Network are limited to $10,000 per Covered Person during the entire period you are covered under the Plan.
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