May the Force Be With You
What is the date of service?
The date the patient was seen.
Who is Sadie Y. and Katrina?
The Member Care and Admin lead. They will be able to answer most questions that you have.
What does, "meet their IUA and submit a needs request? " mean?
Before we will share into a medical expense, the a needs request must be opened, a deteremintion must be made, and the IUA has to be met.
Who is Aimee?
The assistant (to the) manager of member care.
Why do we check 3cx?
To make sure we are not in DND.
What is the billed amount?
The amount the patient was originally charged.
What is our 15-day guideline?
Zion HealthShare requires a 15-day notice for any membership changes. (Ex. IUA change, adding/removing dependents or features, cancellation).
What is the C- Claim Number?
This is where we can find the received and processed date.
Who is Stacey P?
The Manager of Member Care.
Why do we check Tawk?
To make sure there are no incoming Tawks, and to ensure Tawks have been closed out if finished.
What is the discount called that is given to patients who do not have insurance?
Self-pay or Cash-pay discount.
These individuals will be aged out on the month of their _____ birthday. What is their age?
65
What are Next Steps?
This is where we will find what needs to be done next in a need.
The Manager of Medical Advocacy.
Why do we check Outlook?
To see if there are any new emails.
What is the Agreed Rate?
This is the negotiated price for rendered services.
What are two ways Zion HealthShare reimburses members?
ACH transfer or check.
What is the Zion Settlement?
This is where we will (usually) find reason for sharing/rejecting a claim. Also, where we can deduce when an EOS was sent.
Who is Rhonda?
The Manager of the Needs Department.
Why do we check Wiki?
Double check this website to see if there are any special circumstances or processes for a member of an affiliate.
What is the Remittance Date?
This is the date that a check was sent out.
What is our $50 registration fee?
A 1 time, non-refundable fee.
Who is Intermountain Healthcare, and what makes them different than other providers?
This provider is fairly difficult to work with for Zion HealthShare, and we must tell them that the service will be the members responsibility no matter what. If the member calls, we will handle it from there.
Who is Stacy B?
The assistant (to the) manager of the Needs Department.
Why do we check Microsoft Teams?
Double check this application to see if you have a direct message.