DOS 7/14/16, What is the total payment we sent the provider for check QG 68248907
What is $84,423.83
100
What are the dates for New Avon LLC for their open enrollment period for the 2017 year?
What is
Open Enrollment Start Date
10/31/2016
Open Enrollment End Date
11/14/2016
100
What are the INN benefits for wigs?
What is Wigs
The Plan pays Benefits for wigs and other scalp hair prosthesis regardless of the reason of hair loss.
1 per calendar year.
80% of eligible expenses after satisfying $2,600 deductible.
100
What DME year does this plan follow?
What is Product Year 2011
100
What tier is COPAXONE 20mg/ml
What is Tier 2
200
DOS 7/15/15, What is the tax ID?
What is 222519596
200
is the 2017 ibaag ready?
What is
Is Ibaag Ready?
No
200
Paulette has medicare, who is prime for her, UHC or Medicare?
What is UHC
200
What is the Funding Arrangement
What is Fully Insured
200
Why was RX claim DOS 1/21/16 rejected
What is Max 2 fills then action required.
MSMS
Non-Formulary Product
Refill Payable on or after 02/04/16
300
How many results show up in a WAND search for this year?
What is Zero
300
DOS 7/25/2016 Eric lutsky which code was paid at 100%
What is 99395
300
DOS 10/12/16 Lawerenceville sugery center, why did we close the claim? When did we reprocess and how much did UHC pay?
What is E9 - COORDINATION OF BENEFITS - MISSING INFORMATION, 10/26/16, $3,821.00
300
DOS 6/30/15 Cardionet, why did we deny the claim? Did we ever pay the claim and why?
What is 63 - REQUEST FOR CLINICAL RECORDS, PROGRESS NOTES, AND TEST RESULTS, No, we never got the requested information.
300
What is quantity limit for PRADAXA 110MG
What is 2 per 1 day(s). Benefit maximum quantity 2 tablets per day.
400
DOS 5/6/14, What is the process date, and how much of the INN deductible was met at that time?
What is 5/18/14, $224.49
400
For Enzo clinical labs DOS 7/25/16, What is the current contract dates?
What is 9/1/04-12/31/99
400
How many AND what codes did we approve for notification number A005457859
What is Two codes 26480, 25447
400
DOS 2/27/15 San Diego imaging LLC, what is the notification number listed on this claim?
What is 8271870201
400
What code would you give the pharmacy if a caller needed wrong day supply override?
What is Wrong Day Supply 1X per 180 days per Rx Override at 75% consumption. Therapy change: Pharmacy to use submission clarification code 05.
500
Does this plan cover eyes exams INN?
What is Vision Examinations
Vision Exam:
$40 copay per visit then 100% of eligible expenses.
WE ONLY COVER VISION EXAMS and refractions associated with disease or injury.
Vision Hardware:
80% of eligible expenses after satisfying $450 deductible.
ONLY COVERED for one pair of corrective lenses or contacts after cataract surgery
500
What benefits would E0117 fall under?
What is DME
500
What does the group alert say?
What is PLEASE DO NOT PROVIDE FSA OR HRA BALANCES TO PROVIDERS. THIS IS THE CLIENTS REQUEST
500
What benefit does code J2001 fall under?
What is Pharmaceutical Products - Outpatient
500
What is the coverage for compound drugs?
What is Covered - Compound claims over $50 require Prior Authorization Tier 3