Submitted by Karen Cannella on Wed, 2020-11-18 08:31
Description

yellow triangle with red outline

Insurer Category:
Insurer Facility

Not in network

Out of Network Benefits

YES

Plan Type

Medicare Replacement POS

Card Identifiers (Options)

#If POS plan, the card will state HMO and POS

What You Should Know (Who Patient Can See with Current Coverage)

#Loyola/Gottlieb/MacNeal not contracted 
#POS plan has OON benefits 
#Patients will have a larger financial responsibility

Register As (Epic Plan Name)

#Generic Medicare Replacement 
459901

Inform Patient

#Loyola/Gottlieb/MacNeal not contracted 
#POS plan has OON benefits 
#Patients will have a larger financial responsibility

Document in Epic

#Patients will have a larger financial responsibility

EEV/NDAS Tips

#Not an EEV Payor

Registration Tips

#Loyola/Gottlieb/MacNeal not contracted 
#POS plan has OON benefits 
#Patients will have a larger financial responsibility

Exclude from "Insurance Info" page