ISET
This section in ISET houses the claims mailing address.
What is Eligibility Tab/Claim Information?
In the Claims Inquiry tab, press this to open a search window.
What is F9 or Ctrl + O?
ETS is an abbreviation for this.
What is Escalation Tracking System?
This SOP provides instructions for case entry fields in ETS.
What is Healthplex Reference Guide?
This macro combination is responsible for entering cases into ETS.
This section in ISET provides a breakdown of what percentages the plan pays, member coinsurance, and member copays for both INN and OON providers.
What is the Benefits section?
The LOB can only be found under this tab for post-service claims.
What is the Remittance tab.
True or False? Case number L1011511003 is associated with clinical denials.
What is false; the case is Admin.
This section of the Reference Guide is responsible for providing information on the Funding type.
What is Market Information?
This application must be opened in order for the macro to enter a case into ETS.
What is Rambo? or What is Dental Appeal ETS tool?
When assigning yourself a case in ISET, it is important to uncheck this box, as not to assign cases from others que.
What is the Unassigned Service Request button?
This section of Facets houses the dental provider's title or degree.
What is common practitioner tab?
This section in ETS houses the county field.
What is Patient Info?
The Julian Calendar can be found in what section of what SOP?
What is Other Section of the Reference Guide.
This macro combination can be used to pull up ETS without having to restart the computer.
What is ctrl + shift + g, option 4?
This provider is responsible for providing William Garlock, who lives in Middlesex New York, services on 02/19/2024.
Who is Dr. Alexandra Symans?
The funding type for claim number 240919983000 is this.
What is Fully Insured?
This Healthplex Team member is responsible for entering case number L0951400006.
Who is Felicia?
This keyboard shortcut allows you to search the entire SOP for specific keywords and phrases.
What is ctrl + f or find?
This individual is referred to as the Macro Champion.
Who is Kyle Goller?
Afnan Alabbadi, who lives in Yonkers, New York, has a legal entity named this.
What is HEALTHPLEX, IPA, INC.
The LOB number for the patient associated with claim number 240776249400 is this.
What is 0441?
William Garlock has a 1st level appeal under this case number.
What is L0741244004?
Creating A Manual Check Request can be found in what section of the Healthplex Dental Appeals Triage Process
Who is Logan Swanson?