Coventry Health Care

Zomwe Zing'onozing'ono Zamadalali Zamankhwala

Coventry Health Care, Inc. ikugwira ntchito zingapo zaumoyo, makampani a inshuwalansi, ndi makampani opereka malipiro antchito m'mayiko onse 50. Amalonda a zamankhwala amafunika kuti apereke zifukwa kwa kampaniyi. Amapereka pulogalamu yamakono yabwino kuti achite zambiri mwa ntchitozi.

Palinso mapulani osiyanasiyana a zaumoyo omwe amagwera pansi pa ambulera ya Coventry, kuyambira ku Gulu la Health Plan kupita ku American Postal Workers Union. Kuchokera ku chithandizo chololedwa, kulandira zopindulitsa, kukonza malingaliro ndi kubwezera ndalama, kodi muyenera kudziwa chiyani za Coventry ndipo mungapeze bwanji chidziwitso chomwe mukufuna? Tiyeni tiyambe mwa kukambirana za mapulani omwe akuphatikizidwa, momwe mungapezere chidziwitso chodziwika bwino, ndi kumene mungathe kuyankha mafunso anu kuti mupeze mayankho omwe mukufuna.

Ngati mukufunafuna zambiri kuti muzitha kuyendetsa bwino inshuwalansi ya zachipatala, mukuwona mwachidule za inshuwalansi zaumoyo .

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Mapulani Akuphatikizidwa Pansi pa Coventry Health Care

Mofanana ndi makampani ambiri a inshuwalansi, Coventry Health Care ndi kampani yaikulu yomwe ili ndi mapulani ang'onoang'ono. Ena (koma osati onse) awa ndi awa:

• Komiti ya National Coventry Health Care
• First Health Network
• Pulogalamu Yopindulitsa Yothandizira Ma Mail
• Altius
• Carelink
• Coventry Health Care ya Delaware, Florida, Georgia, Iowa, Kansas, Louisiana, Nebraska, Nevada
• Coventry Health ndi Moyo wa Oklahoma, Tennessee
• Coventry Missouri
• Gulu Lathanzi Lathanzi
• HealthAmerica / HealthAssurance
• MunthuChipatala
• Huduma Zathanzi za Kumwera
• University of Missouri
• WellPath
• Pulogalamu Yabwino Yothandiza
• Pulogalamu Yabwino ya Utumiki Wakunja
• Pulogalamu Yopindulitsa Zomangamanga
• Kupititsa patsogolo Makhalidwe, Inc
• American Postal Workers Union (APWU)
• Moyo Wathanzi Woyamba & Health Ins. Co

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Zambiri pa Coventry Health Care

Njira yabwino kwambiri yopezera chidziwitso chokhudzana ndi kulipira kwa Coventry, tumizani ku Grid Contact yomwe ili pa Gawo 6 la buku lothandizira.

Kwa Nkhani Zogulira Makasitomala chonde fufuzani Nambala ya Nambala ya Nambala ya Nambala yomwe ili m'ndandanda wa khadi la membala aliyense. Dipatimenti iyi idzatha kukuthandizani pazinthu zomwe zili pansipa komanso mavuto ena ambiri.

• Zotsutsidwa Zotsutsa Zotsutsa
• Miyala Yodalirika
• Kusindikiza Kwadongosolo
• Nkhani Zotsutsa
• Zopempha za EOB ndi RA
• Zovomerezeka Zogwirizana
• Sungani ndi Kubwezera Ziphuphu
• Pindulani ndi Mavuto Amodzi
• Maofesi Olipira Ngongole Oyamba
• Zopereka Zatsopano Zopereka
• Zopempha Buku Buku Lopereka
• Non-Par Demographic kusintha
• Mafunso a NPI

Kwa mafunso a Coventry National Customer Service aitaneni nambala ya foni yomwe ili kumbuyo kwa khadi la membala.

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Kuyenerera, Kupindula ndi Chidziwitso

Ngati mukudabwa ngati ndondomeko inayake kapena wothandizira akuphimbidwa (kuyenerera), kuchuluka kwa kufotokozera (phindu), kapena akufuna kudziwa kuti chikhalidwe cha malonda (chiwerengero cha chilango), pali njira zitatu zopezera chidziwitso.

1. Lankhulani nambala ya foni yomwe ili pamakalata a membala.
2. Kupyolera mu Coventry Health Care pa intankhulo yotumiza pa intaneti pa www.directprovider.com.
3. Kupyolera mu Ofesi ya Emdeon.

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Kuvomerezeka

Mapulogalamu omwe amafunikila kupatsidwa chithandizo akuphatikizapo chipatala chachipatala kapena chisamaliro choyang'anira, osankhidwa opaleshoni opita kuchipatala (mosasamala mtundu wa malo), ma radio radiology (monga CT, MRI, IMRT, Bone Density, Thupi lonse kapena PET Scans), DME / Prosthetics / Orthotics, Kusamalira Kunyumba, Kutupa Kwaumphawi, Kukonzekera (Kachilombo / Pulmonary / PT / OT / Kulankhula), Kuphunzira Kugona, ndi mauthenga okhudzana ndi Kuperewera kapena Kusintha.

Kodi Mungapereke Bwanji Chithandizo Chofunika?

Zopempha zovomerezeka kuntchito zingaperekedwe kupyolera pa Coventry Health Care pakhomo loperekera pa intaneti pa www.directprovider.com.

Kwa mafunso enieni, pezani nambala yovomerezeka yomwe ili pamakalata a membala.

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Zambiri Zamalipilidwe

Pali njira zitatu zazikulu zomwe mungapereke ngongole:

1. Mauthenga a zamagetsi angaperekedwe kudzera pa zojambula zopezeka pa intaneti za Coventry Health Care pa www.directprovider.com.
2. Zomveka zamakono zingatumizedwe kupyolera mu nyumba yosungiramo malo ya Emdeon.
3. Zolinga zamapepala zingaperekedwe ku adiresi yamatulankhani ya Coventry Health Care yomwe ili pamakalata a membala.

Zolinga zachiwiri zingathe kufotokozedwa m'njira zotsatirazi:

• Tumizani zamagetsi.
• Kulemba mapepala kungaperekedwe ndi EOB yoyamba kulipira.
• Phatikizani kusintha kwa ndalama zonse pazomwe akufunira komanso msinkhu wa mndandanda wa utumiki (ngati ulipo).
• Phatikizani zifukwa zosinthira monga mgwirizano wamagulu, ndalama, ndalama, kapena ena. Gwiritsani ntchito zizindikiro zomwe zimaperekedwa ndi ndalama zowonjezera.
• Malipiro oyambirira omwe amalipidwa ali pa mlingo woyenera komanso mlingo wamtumiki (ngati alipo).

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Zofunika Zowunikira Panthawi Yake

Malire osungirako nthawi yake amatsimikiziridwa mu mgwirizano wothandizira.

Popeza kuti nkhaniyi ingasinthe ndi nthawi kapena kusiyana ndi kampaniyo, onetsetsani kuti mukuyang'anirana ndi mgwirizano wothandizira pa zosowa zowonjezereka.

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Malingaliro Okonzedwa

Pomwe mukupanga kusintha kuzinthu zowonongedwa kale, perekani zotsutsana zowonongeka pamagetsi.

Sinthani Chiwerengero cha Frequency Code ndi:
7 = Kusinthidwa kwa chiyeso choyambirira.
8 = Kutsegula / kutsegula kwa chiyeso choyambirira.

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Kubwezera

Ngati mukufunika kuthandizira inshuwalansi ya inshuwalansi , perekani ndondomeko yoyenera. Coventry Health Care idzabwezeretsa / kubwezeretsa malipiro omwe adzabwezeredwa pa ERA ndi kusinthidwa kwa chigamulo chololedwa, ndikutsatiridwa ndi chigamulo chovomerezeka cha chigamulocho.

Kubwezera chifukwa cha ngongole za ngongole zilipo zingatumizedwe ku:

Onaninso Gawo la Contract Coventry lomwe lili mu Gawo 6 la buku lothandizira.

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Information Appeal

Kuimbidwa mlandu kudandaula kuti mankhwalawa amatsutsidwa kudzera mu Coventry Health Care pakhomo laulere laulere pa intaneti pa www.directprovider.com kapena kuitanitsa nambala ya foni ku khadi la adembala la munthuyo kuti mudziwe zambiri.

Pitani ku gawo la Ophatikiza pa Websites la Coventry, pansi pa Electronic Solutions, kuti muwone zolemba za EDI ndi zina zomwe mukuyenera kudziwa ndi zomwe mungapeze.

> Chitsime:

> Coventry Health Care. http://www.coventryhealthcare.com/