Coventry Health Care

Basics bakeng sa Balisisi ba Bongaka

Coventry Health Care, Inc. e sebetsa merero e mengata ea bophelo bo botle, lik'hamphani tsa inshorense le lik'hamphani tsa tšebeletso ea matšeliso ea basebetsi likarolong tsohle tse 50. Barekisi ba bongaka ba ka 'na ba hloka ho fana ka litlaleho ho k'hamphani ena. Ba fana ka inthanete ea inthanete e loketseng ho etsa boholo ba mesebetsi ena.

Ho na le merero e mengata ea bophelo bo botle e oelang tlas'a sekhele sa Coventry, ho tloha ho Group Health Plan ho American Postal Workers Union. Ho tloha ka ntle ho tumello ea molao, ho batla melemo, ho lokisa lipolelo le ho tsosolosa, u lokela ho tseba eng ka Coventry mme u ka fumana tlhahisoleseding e tobileng eo ue hlokang joang? A re qale ka ho bua ka merero e kenyelletsoeng, mokhoa oa ho fumana tlhahisoleseding e akaretsang, le moo u ka lebisang lipotso tsa hau ho fumana likarabo tseo u li hlokang.

Haeba o batla tlhahisoleseding e akaretsang ho laola tsamaiso e rarahaneng ea inshorense ea bongaka, ho ba ka ho hlahloba kakaretso ea merero ea inshorense ea bophelo bo botle .

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Merero e kenyelelitsoe tlas'a Coventry Health Care

Joaloka lik'hamphani tsa inshorense tse ngata tsa hona joale, Coventry Health Care ke k'hamphani e kholo e nang le merero e menyenyane. Tse ling (empa hase kaofela) tsa tsena li kenyelletsa:

• Mokhatlo oa Sechaba oa Bophelo oa Coventry Health Care
• First Health Network
• Morero oa Melemo ea Boipheliso ea Li-Mail
• Altius
• Carelink
• Coventry Health Care ea Delaware, Florida, Georgia, Iowa, Kansas, Louisiana, Nebraska, Nevada
• Coventry Health le Bophelo ba Oklahoma, Tennessee
• Coventry Missouri
• Leano la Bophelo ba Sehlopha
• HealthAmerica / HealthAssurance
• PersonalCare
• Litšebeletso tsa Bophelo ba Bophirimela
• University of Missouri
• WellPath
• Moralo oa Melemo ea Melemo
• Morero oa Litšebeletso tsa Machaba
• Morero oa Litlhohonolofatso tsa Mahaeng a Mahaeng
• Ts'ebeliso ea Mokhoa oa Boipheliso, Inc
• American Postal Workers Union (APWU)
• Bophelo bo Pele ba bophelo bo botle le bophelo bo botle. Co.

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Tlhahisoleseding e akaretsang ka Coventry Health Care

Tsela e molemo ka ho fetisisa ea ho fumana tlhahisoleseding e akaretsang mabapi le ho lefella litšebeletso tsa bophelo le Coventry, sheba lebokose le kopanetsoeng le karolong ea 6 ea buka ea mofani.

Bakeng sa Tšebeletso ea Basebeletsi ba Litšebeletso ka kopo, hlahloba Tšebeletso ea Customer Customer Phone e thathamisitsoeng ho e 'ngoe le e' Lefapha lena le tla khona ho u thusa ka litaba tse thathamisitsoeng ka tlase hammoho le lintho tse ling tse ngata tse amehang.

• Mathata a Boipiletso ba Liqoso
• Likoloto tse hlalositsoeng
• Ho Finyella ka nako e loketseng
• Mathata a ho ahlola
• Likōpo tsa EOB le RA
• Litlhoko tsa tumello
• Sheba litaba le ho khutlisetsa chelete
• Melemo le Mathata a Litho
• Li-call tsa Billing tsa pele
• Lipotso tsa Mohlokomeli e Mocha
• Lipotso tsa Mangolo a Mofani
• Liphetoho tse sa amaneng le palo ea batho
• Lipotso tsa NPI

Bakeng sa lipotso tsa Coventry National Customer Service o letsetsa nomoro ea thelefono e ka morao ea karete ea ID ea setho.

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Tšoaneleho, Melemo le Temo ea Boipiletso

Haeba u ntse u ipotsa hore na mokhoa o itseng o tla koaheloa (ho lumellana), tekanyo ea boitsebiso (melemo), kapa ba thahasella ho tseba hore boemo ba boipiletso (boemo ba litlamorao), ho na le litsela tse tharo tsa ho fumana boitsebiso bona.

1. Iteanye le nomoro ea fono e thathamisitsoeng ka karete ea ID ea setho.
2. Ka Kofi ea Coventry Health Care ea inthaneteng ea ho fana ka lisebelisoa ho www.directprovider.com.
3. Ka Ofisi ea Emdeon.

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Pele ho tumelloa

Lits'ebeletso tse hlokang hore motho a kene ka ntle ho naha a kenyeletsa bakuli ba sepetlele kapa tlhokomelo ea tlhokomelo, ho buuoa ka meriana e khethehileng (ho sa tsotellehe mofuta oa maemo), radiology e theko e phahameng (e kang CT, MRI, IMRT, Bone Density, 'mele oohle kapa PET Scans), DME / Prosthetics / Orthotics, Tlhokomelo ea malapeng, Tlhokomelo ea Batsoali, Phetoho ea Boipheliso (Melello ea pelo / Pulmonary / PT / OT / Puo), Lithuto tsa boroko, le litšebeletso tse amanang le ho se shoe kapa ho fetisa.

Tsela ea ho kenya kopo ea Precertification Kopo

Likōpo tsa pele ho tumello ea molao li ka fetisoa ka khoebo ea Inthaneteng ea Coventry Health Care ho www.directprovider.com.

Bakeng sa lipotso tse tobileng, ikopanye le nomoro ea ho itokolla holimo e thathamisitsoeng ka karete ea ID ea setho.

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Lintlha tsa Tefiso

Ho na le litsela tse tharo tse ka sehloohong tseo likoloto li ka romelloang ho tsona:

1. Litlaleho tsa elektronike li ka fetisoa ka khoebo ea Inthaneteng ea Coventry Health Care ho www.directprovider.com.
2. Litlaleho tsa elektronike li ka fetisoa ka ntlo ea ho hloekisa ea Emdeon.
3. Litlaleho tsa pampiri li ka kenngoa atereseng ea litlaleho tsa Coventry Health Care tse thathamisitsoeng ka karete ea ID ea setho.

Litaba tse ka sehloohong li ka fetisoa ka litsela tse latelang:

• Ngolisa ka elektronike.
• Litlaleho tsa pampiri li ka romeloa ka EOB ea chelete e kholo.
• Kenyeletsa liphetoho tse lekanang le boemo ba bobeli ba boipiletso le boemo ba litekanyetso tsa tšebeletso (haeba e le teng).
• Kenyelletsa mabaka a liphetoho tse kang boikarabello ba konteraka, chelete e fuoang chelete, chelete ea lichelete, kapa ba bang. Sebelisa melaetsa e fanoang ke chelete ea moputso oa basebetsi.
• Palo ea tefo ea mantlha e lefshoang ka bobeli ba boemo ba boipheliso le boemo ba moeli oa tšebeletso (haeba e le teng)

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Litlhoko tsa ho Finyella ka nako e loketseng

Meeli ea ho finyella ka nako e nepahetseng e boletsoeng tumellanong ea mofani.

Kaha tlhahisoleseding ena e ka fetoha ka nako kapa e fapane le k'hamphani e itseng, etsa bonnete ba hore u shebile tumellano ea mofani bakeng sa litlhoko tsa morao-rao.

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Litlhaloso tse lokisoang

Ha u etsa liphetoho litabeng tsa pele tse lefuoang, tsamaisa lipolelo tse lokisoang ka elektronike.

Hlahisa Frequency Code ea Claim ka:
7 = Ho nkeloa sebaka ha pelaelo ea pele.
8 = Tlosa / ho hlakola ea boipelaetso pele ho moo.

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Litefello

Haeba o hloka ho sebetsana le inshorense ea bophelo bo botle , tsamaisa litemoso tse nepahetseng. Coventry Health Care e tla tsosolosa / e tsosolose moputso o tla tlatsoa ho ERA e nang le phetoho ea boipelaetso bo fosahetseng, ho lateloa ke nyeoe e lokisoang ea boipiletso.

Lichelete ka lebaka la tekanyo ea likoloto e teng e ka romeloa ho:

Sheba Grid ea Coventry's Contract e fumanehang karolong ea 6 ea buka ea mofani.

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Boitsebiso ba boipiletso

Ho etsa boipiletso ho hana litlaleho tsa bongaka litlaleho tsena li ka hlahlojoa hape ka k'haravene ea mahala ea boitsebiso ba Inthaneteng ea Coventry Health, kapa e ikopanye le nomoro ea mohala ka karete ea ID ea setho sa tlhahisoleseding.

E-ea karolo ea Mofani oa Liwebsaete tsa Coventry, tlas'a Electronic Solutions, ho sheba Litokomane tsa EDI le tse ling tsa tlhahisoleseding e nepahetseng le dikgetho tse fumanehang ho uena.

> Mohloli:

> Coventry Health Care. http://www.coventryhealthcare.com/