Brochure Sections
Benefits
Codes Codes Codes!
HIPAA
Systems and Resources
300

Changes

What is Section 2

300

An Accidental Injury

What is an Injury Caused by an External Force or Element Such as a Blow or Fall and Which Requires Immediate Medical Attention, Including Animal Bites and Poisonings?

300

The Specialty Code for Gastroenterology

What is 10

300

This Type of Representative Not Recognized in the State of Maine

What is Informal [Inferred] Representative?

300

The 3 Different Sessions in Streamline You'll Be Utilizing the Most

What is B Session, I Session, and S Session?

450

Prescription Drug Benefits

What is Section 5(f)

450

Preventative Care for an Adult Begins at This Age

What is 22?

450

Coverage Status of Code D2160

What is Only In Relation to an Accident or Restoring the Mouth to a Precancerous State?

450

A Personal Representative's Authority Termination Date

What is Upon Death or Written Request?

450

Where You Can Order ID Cards for Members

What is FEP Direct?

700

Emergency Services/Accidents 

What is Section 5(d)

700

The Calendar Year Deductible for a Standard Member (Both Induvial and Family)

What is 350 for Self and 700 for Family?

700

Coverage Status of CPT Code A4335

What is This Code is Not Covered

700

We Must Have This on File for an Authorized Representative?

What is an Authorization Form?

700

Where You Can Find Helpful Documents 

What is BlueLink

800

Mental Health and Substance Use Disorder Benefits

What is Section 5(e)

800

The Calendar Year Deductible for a Basic Member

What is There is NO Deductible? 

800

Basic Surgical Copay for CPT Code 36000

What is This Code is Not Subject to the Surgical Copay?

800

An Informal Verbal Representative

What is a person where the Member has given verbal permission to speak to them and regarding what to discuss?

800

Where You Can Find Benefit Information

What is FEP Direct OR The FEHB Brochure ?

2000

Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals

What is Section 5(a)

2000

The Amount of Physical Therapy Visits Allowed for a Standard Member per Calendar Year 

What is 75?

2000

Coverage Status of Code 55970

What is This Code is Valid and Billable?

2000

Three Pieces of Information We Can Use to Verify HIPAA

Full Name, DOB, SS#, Full Address, Member Identification #, and/or Phone Number

2000

Where You Can Document All Your Notes

What is CSA?