Out of Scope WH

Concern: Claim Status

• Handle

• Not Handle

Calling for the Benefits and Eligibility of the member

• Handle

• Not Handle

Service was rendered in Texas

• Handle

• Not Handle

Medicare Crossover Claim

• Handle

• Not Handle

Blue Shield Claim

• Handle

• Not Handle

Blue Cross Claim

• Handle

• Not Handle

The member purchase the plan in Iowa, but service was rendered in Nevada

• Handle

• Not Handle

Anthem Plan to Plan call

• Allowed

• Not Allowed

Non Anthem Plan to Plan call

• Allowed

• Not Allowed

Return Code: ITSWGS

• Handle

• Not Handle