Carrier Reminders

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Carrier Reminders


Insurance 

  • Carrier: Insurance Company Name
  • Policy #: Enter what is on the card
    • If policy number is not available, input “Still Need” in policy number field
  • Group #: Enter what is on the card
    • If group number is not available, leave this field blank


Self-Pay

  • Carrier: Search and Select “Self-Pay”
  • Policy #: Enter patients date of birth in the following format; 2-digit month, 2-digit day, 4-digit year
    • For example, if patients DOB is 09/06/1965, it should be entered in the policy field as 09061965 
    • Note: We should not offer providing prices unless asked
  • Group #: Leave blank


Special Payers/Charities

  • NOTE: The following locations will not accept referrals from charity or non-profit organizations effective 04/01/2024
    • Chevy Chase
    • Bethesda
    • Park Potomac
    • Arlington
    • Germantown
  • Carrier: Search and Select Charity Name
  • Policy #: Enter “Charity”
  • Group #: Leave blank


Unknown Insurance Plan

  • Patient has insurance but caller does not know the plan information
  • Carrier: Search and Select “Unknown Payer”
  • Policy #: Enter “Still Need”
  • Group #: Leave blank


Insurance Plan not found in Merge (Freeform)

  • Be sure to reference the OON List BEFORE adding a "freeform" insurance
  • ADD NOTE TO INCLUDE:
    • Insurance Name
    • Insurance Policy Number (Member ID)
    • Provider/Precertification Phone Number
    • Claims billing address from card
  • Do not use for major payors, such as Aetna, UHC, Cigna or BlueCross BlueShield, etc.



REMINDER:

Verify or Enter Information for Carrier, Policy # and Group #


UPDATED: 10/11/2024