Real-time patient eligibility, benefits, and accumulator data including current and historical coverage information for up to 50 members at a time.
Detailed co-insurance, co-payment and deductible information for ALL members, including BlueCard.
Improved Claim Status, details and payment information including submission of COB or authorization number, claim line level details/processing and real-time claim payment information.
Claim Submission for professional providers at NO charge.
Claim Status Reports including claims status by received, pending or processed and ability to drill-down to specific claim details.
Submission of Referral or Pre-authorization requests for Radiology procedures/services, including ability to check the real-time status of a request.
Ability to research medical policies and view operations manuals.
Online Provider Remittances - View, Save, Print Your Remittances Online Anytime - 24/7.
Clear Claim Connection is a tool for evaluating clinical coding information. It allows providers to view clinically based information along with documented source information for approximately 2 million edits also incorporating editing for some of our reimbursement policies.
