Infinx
What Payors will not get verified by Infinix?
WC, MVAL, Funding and VA
True or False
Every patient that starts therapy needs to be input into Journey before scheduling.
True.
When do you submit your weekly OC Accountability Tracker
Friday
Per simple verification below, what should we collect from our BCBS patient at time of service?
DED:$1000 DED Met: $450 DED Rem: $550
OOP:$2000 OOP Met: $450 OOP Rem: $1550
Co-ins: 25%
$50 - $125
Every single patient needs a payment policy form with the exception of 3 insurances. What are those?
WC, MVA and VA.
When prompted to send Verification of Benefits request to Infinix you must provide 2 pieces of information. What are those?
Date of Service and Time of EVAL
True or False:
We can save cards on file for patients who jump from clinic to clinic.
True!
With the new Co-Insurance policy we can save cards on file. You just need to make sure you save the card under your clinic in the wallet.
What report is used to show accounts missing authorizations or that you have gone over the visit limit?
Charges holding
Per simple verification below, what should we collect from our BCBS patient at time of service?
DED:$1000 DED Met: $1000 DED Rem: $0
OOP:$2000 OOP Met: $1000 OOP Rem: $1000
Co-ins: 20%
$25
What 4 appointment types need Good Faith Estimates?
Self-pay
Skilled training
Dry Needling
Disability FCEs
How will you know when your benefits are verified for your patient?
At the day of EVAL, what additional form do we need to print off through single letters?
CCAOB - Credit Card AUTH for Outstanding Balance
When should we apply for continued auth through infinix?
When there are 2-3 authorized visits left
What is the difference in a COPAY and a Co-Insurance?
Copay is a fixed rate for Health services.
Co-insurance is a percentage cost share once the DED has been met.
A patient will qualify for a FH only if they are currently eligible for and receiving __________ __________ (e.g. food stamps, WIC, Etc.)
Where will you find the communication from Infinix on a task?
In the "source" bar of the task. Usually says Open AUTH or Insurance Verification
True or False:
A Work Comp patient brings in an RX from his doctor who has decided they want the patient to do Work Conditioning or Work Hardening we can go ahead and start the new case.
False. We must submit the referral for work conditioning to the WC or CM and have AUTH before beginning that case.
What code can you use in single letter print to print off a school/work excuse?
P25
True or False:
Therapy services must be immediately stopped if a patient is delinquent on their payments.
False
Who approves FH Applications?
VPO - extra credit if you can name our VPO's full name.
Where should you update Infinx with a comment on the task?
In the comments in the Open Auth or Insurance Record. We do not respond in the actual task. That is place we can keep notes for ourselves as reminders.
Name the required materials for eval day!
Intake paperwork, ID, Insurance Cards, KEET, & VOB
Who is our TPD?
Kellie Rearick
If a patient expresses financial difficulties for their co-insurance amounts, what are the 3 potential options we can offer them?
Payment plan
Self-pay Pricing
Financial Hardship
True or False
you can offer your patient a Wellness visit (Skilled Training) to help lower the cost of therapy services.
False