Huddle 02/28

What information can be left on a voicemail?

• Diagnosis code

• Provider name/specialty

• Interaction ID

Copies of member submitted appeals can be found in what system

• On-Demand

• WCF

• NexGen

Appeal decision letters an be found in what system?

• On-Demand

• WCF

• NexGen

Current CHIPS rewards letters

include member whose plan termed or renewed between?

• 01/01/2021-08/13/2021

• 09/01/2022-12/31/2022

• 09/01/2021-12/31/2021

We supply 1095-B reports for who?

• Subscriber only

• Fully-Insured

• ASO Groups

• Whoever needs one

The type of account is used for medical expense and will carry over each year

• MHC

• FSA

• HSA

• HRA

What letters can be found in

ENT ACMP Integrated Health Management

• Appeals

• Member billing

• 1095-C

• Authorization

What information should be included in your documentation

• Who

• What

• Why

• conclusion

How are continuous glucose monitors covered under medical?

• 100%

• ded/coin

• we don't

How are ambulance charges covered?

• INN cost shares

• OON

• Not covered

• Appeal only