Facets
Lists of Items needing to be closed
What is your to do list?
Frequency for D0150
What is no frequency?
This is the category for codes generally beginning with a 7. (X-rays, PET, MRI, CT)
What is Radiology Benefits?
Systems to search for prior authorizations
What is Guiding Care and Prospective Um?
Patient responsibility for Emergency Room Services for 05K216156
What is $100?
Provider information including zip code, specialty, NPI ect.
What is Provider tab?
Can D0330 and D0210 be done in the same day?
What is No we will only cover one or the other for 3 calendar years?
This is the category for a facility calling for an outpatient procedure.
What is Outpatient Facility?
System to search to see if a CPT code needs prior authorization
What is Power Bi?
Patient responsibility for an MRI for 05K218844
No copayment
Tab used to document calls where you are searching for existing prior authorizations
What is UM History?
This is the replacement period for bridges, partials, dentures and crowns.
What is 5 years?
This is the category for speech, hearing, occupational, and physical therapy benefits.
What is Therapy Benefits?
System to search for faxed or mailed documents.
What is Perceptive Content?
Benefit for Chiropractic Services for 18K138293
What is the deductible?
Tab used to double check warnings for a patient
What is the warning box?
The middle column gets quoted for dental when
What is DTRDC provider network is seen with no other networks.
This is the category for J codes.
What is Medicine Services Benefit?
System to look at a claim sent via electronically
What is Transmanager?
Benefit for Skilled Nursing for 08K039586
What is the deductible?
Tab used when validating patient after getting to the second page of Facets.
What is the Validation Tab?
Maximum amount we will pay
What is the Calendar Year Maximum?
This is the category for L1010.
What is Prosthetics and Orthotics?
Place to look up an NPI not found in Facets
Benefit for the flu shot for 15K171103
What is covered at 100% of the allowable?