Eyemed
what tools can we use for Eyemed call handling?
What is KA 4528 and AHA Wiki
What does "Mind Your P.E.A.S." stand for?
What is Paraphrase, Empathize, Appreciate and Summarize.
Metric that is affected by a repeat caller?
What is ACCAT FCR.
When will SRT phone number sunset?
What is 9/15/26
Where can you find a denial reason for a dental claim?
What is HRP, in claim under exceptions tab.
What is the maximum reimbursement for an eye refractive exam?
What is $50.
How many visits can a member get through Signify’s existing Healthy Home Visit (HHV)?
What is This benefit allows for up to two clinically necessary follow up visits per member per year when additional evaluation or intervention is warranted following an initial HHV.
How can we ensure we've answered all members questions?
What is paraphrasing and Summarizing.
When will we stop contacting PBM?
What is 10/19/26
What is the EOC and ADA code listing in Epolicies.
What website do we use to find INN Eyemed providers?
What happens when members who opted for digital communications don't open their ANOC?
What is Individual members will receive a second reminder email notification in late September. Individual members who do not open their second email notification will receive a printed ANOC document in October. For dates on email or print delivery, please review the MP notes section in GPS.
What can we do if members issue isn't resolved first call?
When will SRT Lifeline in TEAMS go live?
What is 10/19/26
Where can you find a dental coverage determination/ PA
What is the claims tab.
How can members submit an OON claims?
what is Medicare Claim Reimbursement Form GC 1664-6 (Applicable benefit limits apply) or OON Eyemed Reimbursement Form.
How has CMS tightened how SSBCI eligibility is determined for 2027?
What is 3-prong SSBCI Eligibility Requirements
How can we keep a high ACCAT FCR %?
What is by using correct SRs.
What systems can we expect to see in 2027?
What is Slack and Five9
If a claim doesn't say "PRE-D", where can you confirm if members benefit was applied?
What is dental accumulators.
What do we do If a member states that EyeMed will not pay for their refraction?
What is escalate and send member ID, to your supervisor.
When can we officially discuss an ANOC?
What is October 1.
Member indicates they have called before, after validating call, what's the first thing you check?
What is case comments/ call documentation.
What are the top 6 reasons to contact PBM?
What is billing and credits, order reships, ointment and solutions, expedited mail order requests, mail order special dispensing requests and new or updated credit card information.
Where can we confirm dental frequency limits?