TAT
What is the TAT for an ID card
8-10 days
T/F - Would you need to verify the MBI # before providing the mm ID
True
What's the member responsibility on Claim ID EGADRQZ4D
$0
What are the options to pay your premium when the payment method is Direct Pay
Mail, Online, Phone and In-Store
What is ECHS used for?
Locate any incoming documents
What is the TAT for a PCP change
24-48 hrs
What information do you need to complete verification
Member ID, Name and DOB
What is the amount the Plan Paid on Claim ID EGADRQZ4D
$99.70
EFT premium is withdrawn between ________
10th - 15th of the moth
What is IOP used for?
View any incoming documents
What is the TAT for COB
15 business days (45 days for the claims to be reworked, 60 days in total
T/F You can take the MBI from a member's brother
False
What is the Billed amount on Claim ID EGADRQZ4D
$211.50
How long does it take for SSPWH to go in effect?
Three months
What is Wikitools
Holds all systems and other resources
What is the TAT to send out a form in OneKit
10-14 days
What information is needed to complete verification when the mm provide his mm ID through the IVR
Name and DOB
What was the amount Aetna paid to the provider on Claim ID EGADRQZ4D
$44,482.13
When are invoices due and considered late on?
Due on the 1st and late on the 10th
What type of Authorization can you find in Evicore?
Radiology services and injections
What is the TAT for a pre-service authorization
7 days
What information would you verify if the mm comes in Fully validated
Name
What is the CPT code and description used for Claim ID EJY2Q6TLX
G0463 Hospital outpatient clinic visit for assessment
What are the payment options available?
Direct Pay, EFT, SSPWH
What is OBC used for?
Create unique letter/documents