Claims
This determines what plan processes medical claims
What is where the service is rendered?
Rx benefit manager
What is CVS/Caremark?
Wyoming FEP plan codes
What are 460 & 960?
Auth requirements must be checked here
What are benefit documents and FEPDirect Member360?
Application used to look up federal members information
What is FEPDirect Member360?
Timely filing for FEP claims
What is Dec. 31 of year after services are rendered?
The only plan that includes OON benefits
What is the Standard plan?
Task used to submit address change requests
What is a GSI?
Requires pre auth for all advanced imaging
What is Blue Focus?
Reason inquiries must be closed within 15 days
What is the service level agreement (SLA)?
FEP members EOBs are located here
What is FEP Member360?
Telemedicine vendor for FEP members
What is Teladoc?
Enrollment code for FEHB Basic self +1
What is 113?
DME that requires pre auth BEFORE receipt
What are hearing aids?
Location of COB
What is Special Info?
BRCA test claims are submitted to this state
What is Utah?
Dental supplemental plan
What is FEP Blue Dental?
Plan designated for postal service employees
What is PSHB?
Providers can still use this submission route for pre auths
What is fax?
HIPAA release info can be found here
What is the padlock?
The spouse on a plan can see this members claims in FEP Member Portal
What is their own?
A member can receive a screening colonoscopy this often
What is once per calendar year?
Prescription plan for Medicare aged members
What is MPDP?
Providers and Members asking about Rx auths need to be connected here
What is FEP Retail Pharmacy?