Network Status 1
If the agent's answer conflict with network status prefilled information what should be given priority
What is "Agent's response"?
When providers use pre-negotiated, discounted rates for covered services these benefits come under
What is "In network benefit?"
If agent mentions provider is out of network and prefilled info is in network we collect
What is Out of network benefits?
When premium pricing is collected due to no discounts for services what benefits are applicable?
What is "Out of network benefit"?
Do we need to ask the practice network status when provider is OON?
What is "No"
If agent asks are you in network with the member's plan this is the response
What is "Yes/No based on prefilled info?"
If agent provides a different network status than prefilled info we need to add the TN
What is network status conflicts?
HMO Plans does not cover _____ Network benefits?
What is "Out of Network benefit?"
If the place of service is hospital outpatient we collect network status for
What is practice?
When do we collect both IN and OON benefits?
What is none?