Team Activity

Front

Is authorization required for Physical Therapy services under Medicare Advantage 65K plans?

Back

No, as of January 1, 2025, auth is no longer required for Medicare Advantage plans.

Answer explanation

Starting 1/1/2025, authorizations are no longer be required for PT services provided by INN participating IBC/AHNJ providers for these plans.

Front

Should autism-related calls be transferred to BHO Provider Services?

Back

Yes, autism-related calls should be transferred to BHO Provider Services.

Front

Are we required to perform warm transfers?

Back

Yes, we are required to perform only warm transfers.

Front

Is it necessary to authenticate the provider’s address?

Back

No, it is not

Front

What extension should I use when a caller requests a U.S. Agent / Onshore Representative?

Back

14613

Front

What information should be included when sending a claim back for review? Options: Reason of the claim review request only, Just ask them to review the claim, At least Claim Number, Denial reason, detailed explanation of the claim review request, DOS, Claim Number and Just ask them to review and process the claim

Back

At least Claim Number, Denial reason, detailed explanation of the claim review request

Answer explanation

Please remember to include at least the claim number, the denial reason, and an explanation of why the claim is being sent for review and what is needed. This helps streamline the claims review process and prevents unnecessary escalations.