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Covered Services List and Referrals and Prior Authorizations for IMS Health Members enrolled in Steward Health Choice1 This chart tells you two things: 1. The covered services and benefits for your
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How to fill out covered services list and

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How to fill out covered services list:

01
Start by gathering all relevant information: Before filling out the covered services list, ensure that you have all the necessary information readily available. This can include your insurance policy details, any specific guidelines or instructions provided by your insurance provider, and any documents related to the services you want to include in the list.
02
Understand the coverage criteria: Familiarize yourself with the coverage criteria outlined by your insurance provider. This may involve reviewing your policy documents, visiting your insurance provider's website, or contacting their customer service for clarification. Understanding the criteria will help you determine which services should be listed.
03
List the covered services: Begin listing the services that are covered by your insurance policy. Be specific and include details such as the name of the service, any codes or identifiers associated with it, and any relevant notes. It's important to accurately represent the services to ensure accurate reimbursement.
04
Include supporting documentation: In order to support your claims for reimbursement, it's essential to include any necessary documentation. This can include medical records, invoices, receipts, and any other relevant paperwork that substantiates the services listed. Keep all the documents organized and attached to the covered services list.
05
Review and revise: Once you have completed filling out the covered services list, take some time to review it for accuracy and completeness. Ensure that all the necessary information is provided and that there are no errors or omissions. Make any revisions or additions as required before submitting the list to your insurance provider.

Who needs a covered services list:

01
Individuals with health insurance: People who have health insurance coverage are typically the ones who need a covered services list. This can include individuals with private health insurance, government-sponsored health programs like Medicare or Medicaid, or employer-provided health insurance.
02
Healthcare providers: Healthcare providers, such as doctors, hospitals, clinics, and other medical professionals or organizations, also require a covered services list. This helps them outline the services they offer and ensures that they accurately bill insurance companies or patients for the provided services.
03
Insurance companies: Insurance companies themselves need a covered services list to determine the services covered under a particular policy and to process reimbursement claims accurately. This list helps them assess the eligibility of claims based on the covered services mentioned in the policy.
Overall, a covered services list is beneficial for both individuals seeking healthcare services and the various stakeholders involved in the healthcare process, such as healthcare providers and insurance companies.
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The covered services list is a detailed list of services that are included in a particular health insurance plan.
Health insurance companies are required to file the covered services list with regulatory authorities.
The covered services list can be filled out electronically or manually, following the specific guidelines provided by the regulatory authorities.
The covered services list helps ensure transparency and clarity about the services covered by a health insurance plan.
The covered services list must include details about the specific services covered, any exclusions or limitations, and cost-sharing requirements.
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