Ghp family | Baamboozle - Baamboozle | The Most Fun Classroom Games!

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WHAT DOES GHP FAMILY COVER

DENTAL/VISION/BH SERVICES/MEDICAL/

A MEMBER WANTS TO CHANGE THEIR MCO WHERE DO WE SEND THEM?

PA ENROLLMENT (WARM TRANSFER)

MEMBER WANTS TO USE AN OON PROVIDER-WHAT NEEDS TO BE SUBMITTED?

OON PA BY THE PROVIDER

MEMBER NEEDS SUSTANCE ABUSE HELP WHERE DO WE SEND THEM

BH

How often are OTC reward cards sent out ?

Quarterly

PAPER CLAIM SUBMISSIONS CAN BE CHECKED IN WHAT SYSTEM

IDM FIND/TOWER

WHAT IS THE LAST QUESTION WE ASK ON THE NEW MEMBER WELCOME SCRIPT?

DO YOU HAVE ANY OTHER QUESTIONS REGARDING YOUR PLAN THAT I CAN ASSIST YOU WITH TODAY?

WHAT ARE THE TIMELY FILING GUIDLEINES FOR GHP FAMILY CLAIM SUBMISSION

180 days from date of service for original submissions and 365 days from date of service for corrected or reconsidered/replacement claims.

iF A MEMBER ADVISES US THEIR LAST NAME HAS CHANGED WHO SHOULD WE ADVISE?

ENROLLMENT

WHEN A CHILD IS BORN THEY ARE AUTO COVERED UNDER THEIR OWN ACCOUNT FOR A FULL YEAR TRUE OR FALSE

TRUE