Eligibility Results

Status: ACTIVE

Employer Group: 70009SF-04

Member ID: 12047067701

Eligibility Start Date: January 1, 2016

Eligibility End Date: Active

Explanation of Benefits

Use of the Prompt Pay Card

  • The Prompt Pay card can be used for any approved medical service. By using the card to receive immediate payment for both the patient and plan portions of the healthcare bill, we ask you to do the following:
    • Bill in a Medicare compliant way.
    • Accept a reference based Medicare + price outlined in our fee schedule [get details here].
    • Forward the claim to us as quickly as possible even if it has been paid in full at the point of service. [get details here]

Benefits Coverage

Pre-Authorization

  • Required for inpatient hospitalization, outpatient surgical procedures, and specialty drugs.