PCR Dos and Don'ts
I cover any and all PCR tests (Covid/MVP/Ct/Ng)
What is Medicaid?
Denver Health or Elevate Medical Plan
What is yes?
Sore throat with a strep test
What is $130?
I have medicaid but not sure what type, this portal will help.
What is the Colorado Medicaid portal?
I want a PCR MVP and Ct/Ng but I have United or BCBS insurance. It will cost me how much out of pocket?
What is $200?
California State Medicaid (MediCal)
What is no?
Sore throat and chest pain with strep and covid test
What is $180?
My name is TJ, I'm 12 years old and need STD testing but don't wanna tell my guardian, this may or may not be needed
What is parental consent? Starting at age 13 in CO it can be waived regarding STDs
This machine is FDA approved to run Ct/Ng rectal and throat specimens.
Medicare Part A
What is no, only Medicare Part B? (part A is only for hospitals, Three Peaks is not a hospital)
Fell skiing and twisted the ankle, xray and fiberglass splint provided
There are two claims addresses on the back depending on which state, this is the state where Three Peaks provides medical services.
What is Colorado?
I have Elevate Medical Plan, this is when I should expect my Ct/Ng PCR results.
What is 2-5 days? (Denver Health/Elevate medical plans do not cover in house PCR testing)
I missed my UA and my parole officer told me to get a UA or else I'll go to jail
What is no?
Diarrhea, belly pain x 6 days with IV fluids, zofran and healthtrx GI panel ordered.
What is $250? (the patient will receive a bill from Healthtrx for approx $150)
The RTE returned as a red triangle for my BCBS patient, this is the best way to verify their eligibility
What is Availity?
I have UHC primary and medicaid as my secondary, this is when I can expect my PCR covid/flu results.
What is 2-4 days? Unable to perform in house PCR tests for UHC
My tooth hurts and all I need is antibiotics, here's my Anthen dental insurance
What is no? Three Peaks is a medical clinic, dental insurance is only accepted where dentists work
Chest pain, wheezing, cough, flu test, xray and zpak dispensed in house
What is $200?
The pt's Medicare RTEs as MCO, the front desk will do this next.
What is ask for the patient's other insurance? Medicare RTE as MCO means they likely have a Medicare Advantage plan