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 Prescription Drug Claim Choice Plus Claim |
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Frequent Issues:
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Assistance with referral forms for special care
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Emergency room copays
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Reasonable and customary reimbursement issues
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Resolution of medical expenses debts with collection agencies
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Verification of coverage for medical emergencies
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Resolution of provider billing as to contracted vs. market rate
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Assistance in pre-certification of hospital stays
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Coordination of medical, workers compensation and state DBL
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Out of area claims issues
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Assistance with completing claims forms
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Prior plan deductible credit
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coverage for non-routine services and equipment
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Preauthorization for new or experimental treatments
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Rx: Brand name vs. Generic drugs
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Assistance with mail order continuation drug program
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In-network vs. out-of-network Rx claims issues
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Calendar year vs. Plan year deductible issues
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Explaining medicare benefits to employees
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Coordinating insurance payments with medicare payments
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Assisting eligible employees in applying for medicare and supplemental coverage
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Expediting dental pretreatment authorizations
Please email us the problem/question:
