Coventry Health Care

Asaasiinta Billerka Caafimaadka

Coventry Health Care, Inc. wuxuu ka shaqeeyaa dhowr qorshe caafimaad, shirkado caymis, iyo shirkadaha adeegga magdhawga shaqaalaha ee dhammaan 50 dawladood. Biilasha caafimaadka ayaa u badan inay u baahdaan inay soo gudbiyaan sheegashooyinka shirkadan. Waxay bixiyaan bog internet ah oo ku habboon si ay u qabtaan shaqooyinkaas badankooda.

Waxaa jira qorshooyin caafimaad oo kala duwan kuwaas oo hoos imanaya dallada Coventry, oo ka mid ah Qorshaha Caafimaadka Guriga ee Ururka Shaqaalaha Maraykanka. Laga soo bilaabo horudhacidda, si aad u dalbato dheefaha, si loo saxo sheegashada iyo soo celinta, maxaad ka ogtahay Coventry iyo sidee u heli kartaa macluumaadka gaarka ah ee aad ubaahantahay? Aynu billowno adoo ka hadlaya qorshooyinka lagu daray, sida loo helo macluumaadka guud, iyo meesha aad ku hagaajin karto su'aalaha gaarka ah si aad u hesho jawaabaha aad u baahan tahay.

Haddii aad raadinayso macluumaad guud si aad u maamusho nidaamka caymiska caafimaadka adag, adigoo hubinaya guud ahaan qorshooyinka caymiska caafimaadka .

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Qorshayaasha waxaa ku jira hoosta daryeelka caafimaadka ee Coventry

Sida shirkadaha caymiska ee hadda jira, Coventry Health Care waa shirkad weyn oo ay ku jiraan qorshooyin badan oo yaryar. Qaarkood (laakiin dhammaantood maahan) kuwaan waxaa ka mid ah:

• Coventry Health Care Network
• Shabakada Caafimaadka First
• Qorshaha Faa'iidooyinka Adeegaha
• Altius
• Carelink
• Coventry Health Care ee Delaware, Florida, Georgia, Iowa, Kansas, Louisiana, Nebraska, Nevada
• Coventry Health and Life ee Oklahoma, Tennessee
• Coventry Missouri
• Qorshaha Caafimaadka Kooxda
• HealthAmerica / HealthAssurance
• PersonalCare
• Adeegyada Caafimaadka Koonfurta
• Jaamacadda Missouri
• WellPath
• Qorshaha Manfaca Ururka
• Qorshaha Manfaca Adeegga Dibadda
• Qorshaha Faa'iidooyinka Lacagta Gawaarida Guryaha
• Istaraatiijiyada Istaraatiijiyada Istaraatiijiga ah, Inc
• Ururka Shaqaalaha Boostada Mareykanka (APWU)
• Nolosha Caafimaadka Koowaad iyo Caafimaadka Ins. Shirkadda

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Warbixin guud oo ku saabsan Daryeelka Caafimaadka ee Coventry

Habka ugu wanaagsan ee lagu heli karo macluumaad guud oo ku saabsan kharashka daryeelka caafimaad ee Coventry, tixraac Fudud Xiriirka ee ku yaal qaybta 6 ee buugga adeegaha.

Arrimaha Adeegyada Macaamiisha fadlan iska hubi Adeega Macaamiisha Adeegga Macaamiisha ee ku qoran liistada xubin kasta oo kaarka aqoonsiga. Waaxdani waxay awoodi doontaa inay kaa caawiso arimaha hoos ku taxan iyo sidoo kale walaacyo kale oo badan.

• Arrimaha La Xiriira Dhibbanaha
• Biilasha la soocay
• Dajinta wakhtiga ku haboon
• Arrimaha Adjudhiga
• Codsiyada EOB iyo RAs
• Shuruudaha Oggolaanshaha
• Hubi iyo Arimaha Dib u Celinta
• Dheefta iyo Arrimaha Xubinta
• Wicitaannada Bixinta Bilawga Bilowga ah
• Weydiimaha Cusub
• Codsiyada Gacanta
• Isbeddel-aan-Dib-u-dhac Dadban
• Su'aalaha shaybaarka ah

Wixii su'aal ah ee ku saabsan adeegga Macmiilka ee Coventry wac lambarka taleefanka ee ku yaal dhabarka kaadhka aqoonsiga xubinta.

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Xaq u yeelashada, Faa'iidooyinka iyo Sheegashada Sheegashada

Haddii aad isweydiinayso haddii nidaam gaar ah ama bixiye caymis ah (xaq u lahaanshaha), xadka caymiska (faa'iidooyinka), ama aad xiiseyneyso barashada xaaladda dacwad (sheegasho sheegasho), waxaa jira saddex siyaabood oo lagu heli karo macluumaadkan.

1. La xiriir lambarka taleefanka ee ku qoran liiska kaarka xubinimada.
2. Iyadoo loo marayo portal of Proventry Health Care ee bogga internetka www.directprovider.com.
3. Xafiiska Emdeon.

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Dhiirrigelinta

Adeegyada sida caadiga ah looga baahan yahay hor-u- marinta waxaa ka mid ah daryeelka bukaanka ama daaweynta bukaanka, qalliinka bukaan socodka ee la doorto (iyadoon loo eegin nooca goobta), shucaaca kharashka badan (sida CT, MRI, IMRT, Cudurka Lafaha, Dhamaan Body ama PET Scans), DME / Prosthetics / Orthotics, Daryeelka Guriga, Maareynta Xanuunka, Baxnaaninta (Wadnaha / Pulmonary / PT / OT / Hadalka), Daraasaadka Hurdada, iyo adeegyada la xidhiidha Kansarka ama Kala beddelka.

Sida loo Gudbiyo Codsiga Precertification

Codsiyada hor-u-marinta waxaa lagu soo gudbin karaa bogga internetka ee adeegga internetka ee Coventry Health Care oo ah www.directprovider.com.

Wixii su'aalo gaar ah, la xiriir lambarka horudhaca horudhaca ee liiska kaarka xubinta.

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Macluumaadka Biilasha

Waxaa jira saddex siyaabood oo asaasi ah oo biilasha la soo gudbin karo:

1. Codsiyada elektaroonigga ah waxaa lagu soo gudbin karaa bogga internetka ee bixinta daryeelka caafimaadka ee Coventry Health www.directprovider.com.
2. Codsiyada elektarooniga ah waxaa lagu soo gudbin karaa Emdeon's clearinghouse.
3. Sheegashooyinka warqadda waxaa lagu soo gudbin karaa cinwaanka boostada ee Coventry Health Care ee cinwaankiisu ku qoran yahay kaarka aqoonsiga xubinta.

Dacwadaha sare waxaa lagu xiri karaa siyaabaha soo socda:

• Gudbi elektaroonik ahaan.
• Codsiyada warqadda waxaa lagu soo gudbin karaa EOBER bixiyaha aasaasiga ah.
• Ku dar qiimaha isku-hagaajinta labada heer dalbasho iyo heerka adeegga (haddii la heli karo).
• Ku dar sababaha isbeddelka sida waajibaadka qandaraaska, goynta, caymiska, ama kuwa kale. Isticmaal lambarrada ay ku bixiso xawilaadda lacag bixiyaha aasaasiga ah.
• Lacag bixiyaha aasaasiga ah ayaa lagu bixiyaa labada lakala heerka iyo heerka adeegga (haddii la heli karo).

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Xilliga Diiwaangelinta Shuruudaha

Xaddidaadyo xaddidan oo xaddidan ayaa lagu qeexay heshiiska bixiyaha.

Maadaama ay macluumaadkani ku bedeli karto wakhti ama ay ku kala duwan tahay shirkad gaar ah, hubi inaad eegto heshiis bixiyaha shuruudaha ugu dambeeyay.

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Codsiyada saxda ah

Markaad sameysid isbeddel ku yimaada sheegashooyinka hore ee lacag bixinta, waxaad soo gudbisid codsiyada saxda ah si elektaroonik ah

Cusboonaysii Xeerka Caabuqda Caddaanka ee leh:
7 = Bedelka sheegashada hore.
8 = Void / joojinta dalab hore.

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Soo celinta

Haddii aad u baahato in aad xakamayso caymiska caafimaadka ee dheeraadka ah , soo gudbin dalab sax ah. Coventry Health Care waxay ka soo kabanayaan / dib u soo celinayaan lacagta dheeraadka ah ee lagu soo wargalin doono ERA iyadoo dib u celinaysa codsiyada khaldan ee khaldan, oo ay ku xigto go'aanka saxda ah ee sheegashada.

Lacagaha dib u bixinta sababtoo ah balansiga deynka ee jira waxaa loo diri karaa:

Waxaad tixraacdaa Qoraalka Qandaraaska ee Coventry ee ku yaal qaybta 6 ee buugga adeegaha.

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Macluumaadka Rafcaanka

Si aad racfaan uga qaadatid sheegashooyinka caafimaad ee la diidey codsiyadaas waxaa laga yaabaa in dib loo eego iyadoo loo marayo portal Coventry Health Care ee bogga internetka ee www.directprovider.com ama la xiriir lambarka taleefanka ee kaarka aqoonsiga xubinta.

Tag qeybta Bixiyaha ee bogagga Coventry, ee hoos yimaada Electronic Solutions, si aad u aragto Diiwaanada EDI iyo macluumaadka kale ee ku haboon iyo ikhtiyaarka kuu diyaar ah.

> Isha:

> Daryeelka caafimaadka ee Coventry. http://www.coventryhealthcare.com/