| Claim denied as Member enrolled in HMO/MCO | |
| 1 | May I know the Claim received date |
| 2 | May I know the claim denied date |
| 3 | May I know the HMO/MCO insurance Name, id#, Contact#( if not available in the application) else |
| 4 | May I know the claim# |
| 5 | May I know the call ref# |
| Call HMO/MCO insurance and Check the Eligibility of the member | ||
| May I know the Patient effective and termination date | ||
| If eligible- | If not eligible- | |
| May I know the TFL | May I know whether member has any other insurance/policy with you | |
| May I know the claim mailing address | If yes | If No |
| May I know the EPID | May I know the insurance Name, Policy id# and Contact# | |
| May I know the fax# and whose attention the claim should be faxed | ||
| May I know the call ref# |
