Benefits
The percentage of costs of a covered health care service pays after the deductible is met.
What is coinsurance
The total number of days to process a claim
What is 30 business days?
This tool allows the member to check the status of claims, a prior authorization, and may payments.
What is MHTK?
BENE
What is benefits?
The amount the member pays for health insurance each month.
What is the premium?
A document that explains to the provide and patient which services an insurance company has paid for.
What is an Explanation of Benefits (EOB)?
This website allows members to make changes to their ACA application.
What is www.healthcare.gov?
This program offers premier health and wellness discounts and is free to join.
What is Blue365?
CVG
These services and visits are covered before you meet your deductible.
What are preventive and office visits?
A claim received by an insurance payer thatis free from errors and processed in a timely manner.
What is a clean claim?
This tool allows members to search for vaccines.
What is the covered drug tool?
The plan code for this discount program is ID #9234113
What is the Vision Discount Program?
NPMT
What is Non-payment?
These diagnostic test requires a Prior authorization
MRI, CAT scan, Sleep study, CT/PET scans
The amount an insurance company will pay for services rendered.
What is the automated payment system?
This program offers discounts with alternative medicine healthcare professionals and fitness centers
What is Natural Blue?
OEP
This health benefit is available to children 18 years or younger but not to adults
What is Vision?
The financial obligation a member is responsible for after the insurance pays their portion for medical expenses.
What is the patient liability?
An exclusive hearing aid savings program
What is TruHearing?
QL
What is Quantity limit?