The code used when we transfer a member to their Care Coordinator.
What is MS01?
100
Dental coverage for our IL members.
What is Liberty Dental?
100
1 Campus Martius
Suites 710, 720, 730
Detroit, MI 48226
What is the claims address?
100
If a CPT code is found on this screen, prior authorization is required.
What is UM28?
100
When logging a chat in the contact log, a live chat representative uses this code.
What is A34?
200
The coverage code used to identify CSHCS Members
What is CC:F?
200
The exclusive provider of Diabetic Supplies for MI members.
What is Healthy Living Medical Supply?
200
365 day time frame a provider has to submit a claim.
What is the Timely filing Limit?
200
This kind of DME will always require authorization, and is identified by an “RR” modifier on the fee screen.
What is a DME rental?
200
The codes used when a live chat representative logs a State Inbox Email.
What are A34E and A34C?
300
The code we use when a member is being billed by a provider.
What is A66?
300
The tobacco cessation benefit for our members is through this entity.
What is New Beginnings?
300
Email that can be utilized by providers to bulk status claims
What is claims.status@mhplan.com?
300
A provider calling about a denied authorization can set this up to discuss the denial.
What is a Peer-to-Peer?
300
We complete this task along with Live Chats on the day that you are assigned to log into Live Chat.
What are Emails?
400
The code we use when a member is reporting that they have another insurance.
What is A28?
400
Members 21 and under are eligible for 18 Visits.
What is the IL Chiropractic Benefit?
400
This is submitted by a provider when they are seeking payment for a claim/procedure performed without authorization, when authorization was in fact required.
What is a Post Service Appeal?
400
Members have 24 visits for these benefits, but if they are under 21, authorization is always required.
What is PT/OT/ST?
400
The code used when a representative mails out an HRA/HMS for members.
What is CM23X?
500
The code used when a representative faxes an approved authorization to a provider.
What is UM17?
500
When a member is discharged, the provider/facility calls this company for the member to get same-day transportation.
What is Logisticare?
500
The status of a claim when it has been processed and set to pay, but the payment has not been sent.
What is adjudicated?
500
The codes for these procedures/tests normally start with an “8”, and always require authorization.
What is Genetic Testing?
500
When running reports to access HRA's to print, this code is used.