Notes
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Callback #:877-255-2924 ext 6863
UMID:h56404299
TAX ID:576001289
Reference #:841740475011
Issue/Concern: Caller is calling about Claim status.
DOS: 11/29/2014
Charge Amt: $483.80
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: no medical policy
Were G and A rights given? No.
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Caller's Name:adam
Callback #:877-255-2924 ext 6863
UMID: h54219457
TAX ID: 576000398
Reference #:841740475011
Issue/Concern: Caller is calling about Claim status.
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: no medical policy
Were G and A rights given? No.
17
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Caller's Name:patricia
Callback #:505-923-6600 ext 2758
UMID:H51156787
TAX ID:850105601
Reference #:451113165811
Issue/Concern: Caller is calling about Claim status.
DOS: 10/16/2014
Charge Amt: $2994.30
Claim #:025405717
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given// claim denied for 08Z - PAYMENT HAS BEEN DENIED BECAUSE THESE SERVICES WERE NOT URGENT/EMERGENT, NOR HAVE WE RECEIVED A REFERRAL APPROVING SERVICES IN ADVANCE FROM THE PRIMARY CARE PHYSICIAN. IF THESE SERVICES WERE PREVIOUSLY APPROVED PLEASE HAVE A REFERRAL SUBMITTED TO FAX NUMBER 800-266-3022.
Were G and A rights given? No.
18
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Caller's Name:rebecca
Callback #:864-605-3873
UMID:H51301549
TAX ID:540506463
Reference #:722320031812
Issue/Concern: Caller is calling about Claim status.
DOS: 02/26/2014
Charge Amt: $299118.43
Claim #:974986771
appeal- 09/02/2014- 214164342308
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given// claim denied 95 - THIS SERVICE/DRUG REQUIRES ADDITIONAL INFORMATION AND/OR DOCUMENTATION FROM YOUR PROVIDER. A REQUESTHAS BEEN SENT TO YOUR PROVIDER FOR THE REQUIRED INFORMATION// appeal received last 09/10/2014- was in high priority and still in review// will be sending a note to supervisor to be put in critical priority// TAT 10-14 b.days//
Were G and A rights given? No.
19
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Caller's Name:margaux
Callback #:832-500-1218
UMID:013517600
TAX ID:741700061
Reference #:422538453012
Issue/Concern: Caller is calling about medical benefits- office visit, surgery, iud contraceptive, global maternity.
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken:
logged vob.
Were G and A rights given? No.
20
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Caller's Name:jackie
Callback #:210-270-1338
UMID:h46382380
TAX ID:541087014
Reference #:182712023912
Issue/Concern: Caller is calling about Claim status.
DOS: 09/19/2014
Charge Amt: $210.00
Claim #:026358324
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given// g0152 is denied for 088// checked gcp on 09/19/2014 but only g0151 is only showing// send back for review// TAT 30-45 b.days// pls review thank you//
Were G and A rights given? No.
21
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Caller's Name:pat
Callback #:610-810-6657
UMID:H48881668
TAX ID:205095905
Reference #:538805180414
Issue/Concern: Caller is calling about Claim status.
DOS: 09/10/2014
Charge Amt: $221.00
Claim #:008462642
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given// jan 14- auto reprocessed//
Were G and A rights given? No.
22
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Caller's Name:tammy
Callback #:785-823-0633 ext 248
UMID:H58795600
TAX ID:481125116
Reference #:717124061114
Issue/Concern: Caller is calling about Claim status.
DOS: 08/06/2014
Charge Amt: $11099.10
Claim #:137230444
12/18/2014- appeal
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given// appeal received last 12/20/2014 still in review
dcn: 141219805959
Were G and A rights given? No.
23
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Caller's Name:tammy
Callback #:785-823-0633 ext 248
UMID:H58795600
TAX ID:481125116
Reference #:717124061114
Issue/Concern: Caller is calling about Claim status.
DOS: 11/12/2014
Charge Amt: $11324.55
Claim #:141417876
appeal- 12/09/2014
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given//appeal received last 12/18/2014 still in review
dcn: 141217420754
Were G and A rights given? No.
24
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Caller's Name:tammy
Callback #:785-823-0633 ext 248
UMID:H58795600
TAX ID:481125116
Reference #:717124061114
Issue/Concern: Caller is calling about Claim status.
DOS: 11/25/2014
Charge Amt: $13168.75
Claim #:141932652
appeal- 12/18/2014
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given//appeal received last 12/16/2014 still in review
dcn: 141215806599
Were G and A rights given? No.
25
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Caller's Name:dana
Callback #:800-354-4205 ext 1305
UMID:h57260043
TAX ID:611357515
Reference #:937081372514
Issue/Concern: Caller is calling about Claim status.
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: call member services to update demographics.
Were G and A rights given? No.
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Caller's Name:wendy
Callback #:919-827-0461 ext7636
UMID:H42529749
TAX ID:570702722
Reference #:405083183114
Issue/Concern: Caller is calling about Claim status.
DOS: 12/05/2014
Charge Amt: $172.00
Claim #:554922735
check #: 001270012152619 - $74.18
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given// claim summary faxed to 919-851-5533// tat: 48-72 hrs//
Were G and A rights given? No.
27
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Caller's Name:debrah
Callback #:404-564-2515
UMID:011259203
TAX ID:581179780
Reference #:364530524114
Issue/Concern: Caller is calling about benefits
76830- lab
76831
58340- sg
specialist office
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken:logged vob.
76831, 58340 requires auth.
Were G and A rights given? No.
28
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Caller's Name:kristy
Callback #:630-874-9167
UMID:013339074
TAX ID:222862167
Reference #:986059034914
Issue/Concern: Caller is calling about Claim status.
DOS: 12/22/2014
Charge Amt: $1496.40
Claim #: 201412236061461
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: claim logged// claim info given//01B3 - A coding error was detected. This claim contains an inappropriate number of units for the billed procedures.
Were G and A rights given? No.
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Caller's Name:joyce
Callback #:678-380-1200
UMID:h51865676
TAX ID:582422542
Reference #:
Issue/Concern: Caller is calling about elig and benefits.
maternity
Expected Outcome:To provide accurate information.
Systems used: GCP
Actions Taken: transfer to Humanaone.
Were G and A rights given? No.
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