Elevance

What Health plans that Elevance handle?

• Home insurance plans
• Medicare-Medicaid Plan (MMP)

• Individual health plans, family health plans, and group health plans
• Medicare Advantage

What are the verification requirements for Elevance?

• Member ID

  Name and Last name

• Name and Last Name

  Date of Birth

  Phone number

• Member ID

  Date of Birth

• Member ID

  First and Last name

  Date of Birth (DOB)

  Address

  Phone Number

Details you need on Gurney?

• Height (FT/IN), Weight (Lbs), Oxygen (Liters), Stair Chair.

• Weight, Height, Oxygen

• Height, Weight, wheelchair

• Height, Oxygen, Stairchair

Member is on Bariatric wheelchair. What should be the service Level?

• Wheelchair

• D2D

• C2C

• Bariatric Gurney

The member wanted to book transportation to the grocery store.

• Decline the trip request of the member.

• Book the trip and inform the member that our drivers are not expected to assist with loading/unloading grocery bags.

• Refer the member to Member Services as we are not allowed to book trips to the Grocery store.

• None of the Above.

 What will the agents do if he/she found out that the member is no longer  eligible for transportation? (Expired plan, already ran out of Trip  

Capitations) 

• Transfer the call to the Updates team.

• Transfer to Supervisor

• Go ahead and book the trip for the member.

• Refer the member to Member Services, only the member services can answer the eligibility of the member.

1. Are trips that have been marked as Complete by the provider, but the member still hasn’t been picked up, meaning the provider is trying to get paid for a service they have not rendered.

• No Show

• Canceled

• Ghosted

• None of the above.

How many trips have to be booked when booking on a Standing Order

• 1

• 2

• 3

• 4

Urgent trips, Dialysis, & Hospital discharges are allowed the same day.

• Transfer to Update

• Refer to member services

• Yes, they are booked 24/7

• No, they fall under the restrictions

Standing orders will be valid in how many days?

• 30 Days

• 90 Days

• 50 Days

• 60 Days