Jeopardy

Row 1

100

What KA holds the Find Care disclaimer ?

KA 3097

200

What is all needed for member to submit a freeform reimbursement ? & what KA would you find this ?

KA 2778

 1)   Your first and last name

      2)   Member ID Number

      3)   Date of birth

      4)   Address and phone number

      5)   A brief description of why you received treatment (e.g., glasses, hearing aids, dental cleaning)

      6)   A copy of the itemized bill from the provider*, make sure it includes:

1. The date of service
2. Provider name
3. Provider Address
4. Provider NPI
5. Copy of the receipt from your provider, make sure it has a brief description of the service(s) or item(s) that you are requesting reimbursement for (examples: frames, contacts, dental fillings, etc.)
   1. Diagnosis codes if available
   2. Proof of payment

      7)   Make sure you include your member ID on anything you send us, like the receipt from the provider.

      8)   Mail these items to the claims address listed on your Member ID card.” 

300

What KA advises the appeals timeframes ? 

KA 4256 & KA 3110

400

What KA helps with Life-Threating Behavioral Health or Medical issues ?

KA 2676

500

What is the transition of care onekit code to have mailed to members  ?

KA 4246 , Code GC-1395

Row 2

100

What is the TAT for member to receive their healthy rewards gift card ? & What KA holds the information ?

KA 4391 , KA 4406 

200

Who can all file a grievance ? & What KA holds that info ?

KA 3109

300

What KA holds the HHV workflow steps ?

KA 3689

400

Which plans have Life Station imbedded into them ? & what KA holds the info ?

None , KA 4306

500

Does Edge park CGM provider deliver ? & what all do they supply ? What KA would hold this info 

No , Diabetic testing, ostomy, urological, wound care, incontinence, insulin pump supplies, continuous glucose monitoring system 

KA 4367