What am I covered for?
Providers
Alt care claims
100

Member ID: 10063021300 Is Massage therapy a covered benefit?

A: No

100

What is the primary network we use for Alt Care Providers

A: American Specialty Health Network (ASHN)
100

Claim number 160144229100: What's my total Member responsibility

A: 25 CP (10 CP + 15 CP)

Two CP's for OV and Chiro manip

200

Caller: I don’t have massage therapy benefits but is there anyway I can get a discount?

A: Choosehealthy

200

 Find me a naturopath in 97214 zip code, I'm on signature network

:)
200

Claim number 170273406000: Why was this subject to my deductible? I thought I had a CP?

A: Mbr is on HSA plan; subject to ded first

300

Member ID: 10095452000 I want to see an Acup; what am I covered for(Provider is non par)

A: Ov to alt care ded wvd 30% coin 2000 oopmax

Acup: Ded wvd 25 Cp $1500 max cyr bene combined with chiro

PT 500 ded 30% coin 2000 oopmax 60 visits pcyr ot/st/pt

300

 Can my naturopath provide my Annual Gyn exam? (Non-grandfathered plan)

A: Yes
300

Claim 120513793300 Why did you not pay anything on this claim?

A: Chiro/Acup is not a covered benefit

400

Member ID: 10019937700 I want to see a naturopath; what's my benefit?

A: Member is on GR plan. No coverage with naturopath

400

I'm a Par Alt care Provider and need to update my address, what do I need to do?

A: Refer provider to ASHN (888)511-2743

400

Claim number 170343525600 Why did if have 2 CP's on this claim??

A: Provider is billing for 2 dates of service on same claim 01/30/2017-02/01/2017

500

Member ID: 11283072400 What is my chiro benefit? (Provider is inn) When does the benefit accumulators reset? Provider will not be doing x-rays

A: OV to alt care ded wvd 25 CP 3000 oopmax

Chiro Ded wvd 25 CP 500 Max Plan Year Benefit combined with acup

PT 500 ded 20 coin 3000 oopmax 30 visits per plan year

Member is on ADEC plan; March 1st plan renewal

500

Who is the PR rep for ASHN

A: Robin Solomon
500

Claim 163013286901 What type of service are for the codes that the provider billed? What benefit do they apply to?

A: Modalities; OP rehab