I-Coventry Health Care

Izinsisekelo zeBillers Medical

I-Coventry Health Care, Inc. isebenza ngezinhlelo eziningi zezempilo, izinkampani zomshuwalense, kanye nezinkampani zesevisi zempindiselo zesebenzi kuzo zonke izifunda ezingu-50. Abadayisi bezokwelapha cishe badinga ukuhambisa izimangalo kule nkampani. Banikeza i-web portal elula ukwenza okuningi yale misebenzi.

Kunezinhlelo eziningi zezempilo ezehlukene eziwela ngaphansi kwesambulela seCoventry, esukela kuGembu LokuPhila KwezeMpilo kuya eMelika Post Workers Union. Ukusuka ekugunyazisweni kwangaphambili, ukucela izinzuzo, ukulungisa izimangalo kanye nokubuyiselwa kwemali, yini okufanele ukwazi ngeCoventry futhi ungayithola kanjani ulwazi oluthile oludingayo? Ake siqale ngokukhuluma ukuthi yiziphi izinhlelo ezifakiwe, ukuthi ungathola kanjani ulwazi olujwayelekile, nalapho ungabhalela khona imibuzo yakho ukuze uthole izimpendulo ozidingayo.

Uma ufuna ukwaziswa okujwayelekile ukuphatha uhlelo oluyinkimbinkimbi yomshuwalense wezokwelapha, ngokuhlola ngokuningiliziwe izinhlelo zomshuwalense wezempilo .

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Amalungiselelo Ahlanganisiwe Ngaphansi Kokunakekelwa Kwezempilo Kwe-Coventry

Njengezinkampanini zamanje zomshuwalense wezempilo, Coventry Health Care inkampani enkulu ebandakanya izinhlelo ezincane ezincane. Ezinye (kodwa hhayi zonke) zalezi zihlanganisa:

• I-Coventry Health Care National Network
• I-First Health Network
• Uhlelo Lokuzuzwa Kwama-Mail Handlers
• Altius
• Carelink
• I-Coventry Health Care yaseDelaware, eFlorida, e-Georgia, e-Iowa, e-Kansas, e-Louisiana, e-Nebraska, e-Nevada
• Coventry Health and Life of Oklahoma, Tennessee
• Coventry Missouri
• Uhlelo lwezempilo lweqembu
• HealthAmerica / HealthAssurance
• I-PersonalCare
• Imisebenzi Yempilo YaseNingizimu
• University of Missouri
• I-WellPath
• Uhlelo Lwezinzuzo Zomphakathi
• Uhlelo Lwezinsizakalo Zomsebenzi Wangaphandle
• Uhlelo Lokuhlomula Emaphandleni Emaphandleni
• I-Outsourcing ye-Strategic, Inc
• I-American Postal Workers Union (i-APWU)
• Ukuqala kweMpilo nokuPhila kwezeMpilo. Co

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Ulwazi olujwayelekile nge-Coventry Health Care

Indlela engcono kakhulu yokuthola ulwazi olujwayelekile mayelana nokukhokhiswa kwezempilo ngeCoventry, bhekani kuGridi Yokuxhumana esesiGabeni 6 sencwadi yomhlinzeki.

Ngezinkinga zezinsizakalo zamakhasimende sicela uhlole inombolo yefoni yesevisi yamakhasimende ebhalwe kuwo wonke amakhadi e-ID yelungu. Lo Mnyango uzokwazi ukukusiza ngezinkinga ezibalulwe ngezansi kanye nezinye izinto ezikhathazayo.

• Izinkinga Zokumangalo Ezilungisiwe
• ImiThethomlingwa Ekhethiweko
• Ukufakela ngesikhathi
• Izinkinga zokugwetshwa
• Izicelo ze-EOB nama-RAs
• Izidingo zokugunyazwa
• Hlola nokubuyiselwa kwemibandela
• Izinzuzo kanye Nezinkinga ZeLungu
• Izingcingo zokukhokha zokuqala ze-Balance
• Imibuzo emhlinzeki entsha
• Izicelo zencwadi yomhlinzeki
• Izinguquko ezingezona zeDemographic
• Imibuzo ye-NPI

Imibuzo ye-Coventry National Service Service yambiza inombolo yocingo ekhona ngemuva kwekhadi le-ID yelungu.

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Ukufaneleka, Izinzuzo nesimo sesimangalo

Uma uzibuza ukuthi inqubo ethile noma umhlinzeki uhlanganisiwe (ukufaneleka), inani lokufaka (izinzuzo), noma unesithakazelo ekufundeni ukuthi isimo sesimangalo (isimo sesimangalo), kunezindlela ezintathu zokuthola lolu lwazi.

1. Xhumana nenombolo yocingo efakwe ekhadini le-ID yelungu.
2. Ngokusebenzisa i-Coventry Health Care ye-intanethi yokuhlinzeka nge-intanethi ku-www.directprovider.com.
3. Ehhovisi lika-Emdeon.

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Ukugunyazwa kwangaphambili

Izinsizakalo ezidinga ukugunyazwa kuqala zibandakanya ukunakekelwa kweziguli esibhedlela noma ukunakekelwa kokuqapha, ukhetho oluhlinzekwa ukwelashwa (kungakhathaliseki uhlobo lwesimiso), i-radiology ebiza kakhulu (njenge-CT, i-MRI, i-IMRT, i-Bone Density, i-Whole Body noma i-PET Scans), i-DME / Prosthetics / Orthotics, Ukunakekelwa Kwekhaya, Ukuphathwa Kwezinhlungu, Ukuvuselelwa (I-Cardiac / Pulmonary / PT / OT / Inkulumo), Izifundo zokulala, nezinsizakalo ezihlobene nokungafihli noma ukuguqulwa.

Indlela yokuthumela isicelo sokufaka isicelo sokuqala

Izicelo zokugunyazwa kwangaphambili zingathunyelwa nge-portal yokuhlinzeka nge-Coventry Health Care ku-www.directprovider.com.

Ukuze uthole imibuzo ethize, thintana nenombolo yokugunyaza okubalulwe ekhadini le-ID yelungu.

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Ulwazi Lokubhila

Kunezindlela ezintathu eziyinhloko lapho izindleko zingathunyelwa khona:

1. Izimangalo ze-elekthronikhi zingathunyelwa nge-portal yokuhlinzeka nge-Coventry Health Care ku-www.directprovider.com.
2. Izimangalo ze-elekthronikhi zingathunyelwa ngezindlu zokuhlanza zika-Emdeon.
3. Izimangalo zephepha zingathunyelwa ekhelini le-akhawunti ye-Coventry Health Care's ohlwini lwekhadi le-ID.

Izimangalo zesekondari zingafakwa ngezindlela ezilandelayo:

• Thumela nge-elektroniki.
• Izicelo zePhepha zingathunyelwa nge-EOB yokukhokhela okuyinhloko.
• Faka izindleko zokulungiswa kokubili kwezinga lokumangalela kanye nezinga lesevisi yesevisi (uma likhona).
• Faka izizathu zokulungiswa njengezibopho zesivumelwano, ukuchithwa, ukuqinisekiswa kwemali, noma abanye. Sebenzisa amakhodi anikezwe imali yokukhokha oyinhloko.
• Isamba esikhokhelwayo sokukhokha esiyinhloko kokubili izinga lokumangalela kanye nezinga lesevisi yesevisi (uma likhona).

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Izidingo Zokuthumela Okwamanje

Imingcele yokufaka ngesikhathi esifanayo ichazwe kwisivumelwano somhlinzeki.

Njengoba lolu lwazi lungashintsha ngesikhatsi noma luhlukahluka nenkampani ethile, qiniseka ukuthi ubheka isivumelwano somhlinzeki ngezidingo zakamuva kakhulu.

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Izimangalo ezilungisiwe

Uma wenza izinguquko kumangalo akhokhelwa ngaphambilini, thumela izicelo ezilungisiwe ngekhompyutha.

Buyekeza i-Code Frequency Code nge:
7 = Ukufakwa kwesimangalo esandulele.
8 = Awukwazi / ukukhansela kwesimangalo esandulele.

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Ukubuyiselwa kwemali

Uma udinga ukusingatha ukukhokha imali yomshuwalense wezempilo , thumela isimangalo esilungisiwe. I-Coventry Health Care izobuyiselwa / ibuyisele kabusha imali ekhokhwa ngokweqile ezokwaziswa nge-ERA ngokuguqulwa kokumangalelwa kwesimangalo esilungile, kulandelwe ukugwetshwa okulungisiwe kwesimangalo.

Ukubuyiselwa kwemali ngenxa yezilinganiso zezikweletu ezikhona kungathunyelwa ku-:

Bheka iGriddi yeKontrakthi yeCoventry eseSigabeni 6 somqulu wenkonzo.

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Ulwazi Lokudlulisa

Ukukhalaza kungenqatshelwe izimangalo zezokwelapha lezi zimangalo zingabuyekezwa nge-portal ye-Coventry Health Care ye-intanethi yamahhala ku-www.directprovider.com noma uxhumane nenombolo yocingo ekhadini le-ID yelungu ngolwazi.

Iya esigabeni somhlinzeki kumawebhusayithi e-Coventry, ngaphansi kwe-Electronic Solutions, ukubuka amadokhumenti e-EDI kanye nolunye ulwazi olufanele nolwazi olutholakala kuwe.

> Umthombo:

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