Vendors
Benefits
Systems
Claims
Med recs
100

I am formerly Aircare

What is humankind

100

This service must be prescribed by a medical doctor (M.D.), doctor of osteopathy (D.O.), or doctor of podiatric medicine (D.P.M.) 

What is PT and OT

100

Use this system to update elig

What is Amisys

100
Denial code 4W

What is experimental and investigational

100

The most common request

What is the complete medical record

200

I am the online PT program

What is Omada

200

This plan has an ind deductible of 1750

What is the contribution plan

200

This system verifies elig

What is Oscar

200

Claim with a SCCF had no allowed amount so the rep went to check this code

What is SF message code

200

Request for instate are housed here

What is CSW inquiries

300

Second opinion services are administered by

Who is Included Health

300

You can find this info...Oral sedation and/or nitrous oxide (analgesia) are not covered.

Where is Oral surgery

300

We will cry once this system sunsets

What is CSW LOL

300

Member called in due to receiving a bill but did not know the DOS. What probing question should be asked?

What is the amount of the bill received?

What is the billing date?

Who is the provider on the bill?

What is the billed service?

300

You route your case here for out of state bar code letters that need to be sent to providers.

What is nowhere

400

I am the rarely talked about maternity vendor

What is Ovia

400

To be covered, blank must be for a residual  impairment resulting from:

• A cerebral vascular accident


What is speech therapy

400

This system is used to verify PAR status for our providers

What is credential stream

400

A claim was billed for chiropractic services processed as

What is denied

400

Most common DME request

What is the invoice

500

Doula services Administrator 

What is Healthscope

500

Benefit for a claim billed for an MRI with no approved auth

What are OON benefits

500

We work out of this system everyday

What is CCI

500

Claims sent over a confusing response that made the rep do what

What is reach out to Amanda/Nea for assistance

500

You check this system for out of state requests.

What is Blue2