Idzo Tsanangudzo 10 Zvikonzero Zvinorega

Kunzwisisa zvikonzero nei zvipatara zvitsva zvinorambidzwa nevatsigiri vanogona kubatsira kukanganisa nhamba yekuramba iwe hofisi yako yezvehutano inogamuchira. Nzira chete yekuvadzivirira ndeyekuziva zvavari.

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Kusakanganiswa Mumiririri Wechiratidzo Chekuziva

Zvakakosha kuisa mvumo yezvokurapa nemashoko akakodzera ekuzivikanwa kwevarwere. Pasina ruzivo rwakakosha, hurongwa hwehutano hwehutano hahugoni kuziva murwere kuti abhadharire kana kushandisa chizivo chekutsvaga chinoshandiswa kumakero ehutano wehutano hwehutano hwehutano.

Zvimwe zvezvikanganiso zvakanyanya zvinogona kuita kuti kuda kubvuma nekuda kwekusakarurama kweruzivo ruzivo ruzivo ndechekuti:

• Zita rekunyorera kana murwere zvinopera zvisina kururama
• Mumiririri wekunyora kana murwere wekuberekwa pamusana pekutsvaga hakufananidzi zuva rokuzvarwa muhutano hwehutano hwehutano
• Nhamba yekunyoresa inoshayikwa kubva kumutsva kana kusakosha
• Nhamba yekubhalisa yeboka inoshayikwa kana isina kuwanikwa

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Coverage Terminated

Kuchengetedza inshuwalisi yekubatsira kusati kwasvika kushandiswa kwemashoko kunogona kungwarira hofisi yezvokurapa kana mushandi wehutano wehutano ari kushanda kana kuti apera. Izvi zvinokubvumira kuti uwane mamwe mapurisa e-inshuwarisi-up-to-date kana kuti kuziva murwere sewe-kubhadhara.

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Inoda Kushandiswa Kwekugadzwa Kwekutanga kana Kutangira

Nzvimbo dzakawanda dzinofungidzirwa sedzimwe dzisingaiti zvekukurumidzira dzingada kubvumirwa. Iro tsika kune vakawanda vanobhadhara inishuwarenzi kuti vawane mvumo yekutengesa mari inodhura yakawanda yakadai se ultrasound, CT, uye MRI. Zvimwe zvokuvhiya uye chirwere chinopinda muropa chinogonawo kutora mvumo.

Nheyo dzinopiwa kune murwere dzinoda kupiwa mvumo yapamberi zvingangodaro dzikarambidzwa nemubhadhara weinishuwarenzi. Services hazvizobvumirwi kana zvibvumirano zvakaitwa zvichionekwa sechirwere chekukurumidzira. Mupiro angaedza kuwana a-retro-mvumo mukati maawa makumi maviri nemasere nemaawa makumi mana nemaviri mushure mesebhenekeri inogamuchirwa zvichienderana nemitemo yekubhadhara bhuwarhu.

Zvimwe

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Services Dzakasunungurwa kana Dzisina

Zvisingawaniki kana kuti zvisati zvavharwa zvinoshandisa mamwe mahofisi emahofisi emahofisi asina kubviswa muhutano hwehutano hwehutano. Varwere vachafanira kubhadhara zana muzana yezvibasa izvi.

Ichi ndicho chimwe chikonzero nei zvakakosha kusangana neshuwarisi yevarwere vasati vashandurwa. Iko kushandiswa kwevarombo nevatengi kunyorera murwere kune zvisiri izvo zvisingavharidzirwa pasina kuzviita kuti vazive kuti vangave vane mhosva yemhosva pamberi pekuita kwavo.

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Chikumbiro cheMabhuku ekurapa

Dzimwe hurongwa hwehutano hwehutano dzinogona kukumbira zvinyorwa zvechiremba apo kubvunzwa kunoda mamwe magwaro kuitira kuti arambe chirevo. Chiremba wezvechiremba chinosanganisira asi hachirevi kune zvinotevera:

• Mumiriri wezvokurapa nhoroondo
• Mwoyo murefu miviri
• Physician consulting reports
• Mwoyo mukurasira zvinyorwa
• Radiology inoshuma
• Operative reports

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Kugadziriswa Kwezvipo

Kugadziriswa kwekuregererwa kunogona kusanganisira:

• Mamwe inshuwarisi inokosha
• Kushaya EOB ( kukosha kwezvipo)
• Nhengo haina kumbovandudza insurer nemamwe mashoko ehupfumi

Kugadziriswa kwebatsiro izwi rinoshandiswa apo murwere ane zvikwereti zviviri zvehutano hwehutano. Mamwe mitemo inoshandiswa kuti aone kuti chirongwa chehutano hwehutano huripi huripo, chekondari kana chepamusoro. Pane mitsara yakawanda yekutsvaga mune zvakarongeka kuti hofisi yezvehutano inofanirwa kubhadhara hurongwa hwehutano hwehutano.

Zvimwe

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Bill Dability Carrier

Kana kukanganisa kwave kwakanyorwa sechiitiko chemotokari yega-kana yebasa, vamwe vatakuri vanoramba kubhadhara kusvika iyo motokari yerima kana kuti mushandi wekubhadhara mari yevashandi akambirwa.

Nokuda kwebasa rinotsigirwa nehupakuvadza, inshuwarisi yemhosva yechitatu yezvemhosva inofanira kuiswa nguva dzose:

1. Motokari kana Auto Insurance kusanganisira pasina mhosva, mutemo kana Med Pay
2. Worker's Compensation Insurance
3. Inishuwarenzi yeimba yeimba
4. Kunyunyuta Inishuwarenzi
5. Bhizimisi Rakawanikwa Inishuwarenzi

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Kusina kana kusina kukodzera CPT kana HCPCS Codes

Kuti zvirongwa zvezvechiremba zvigadzirise zvakanaka, pane mitemo yakawanda inoshandiswa kutsvaga maitiro nemitemo. Iyi nzira yekunyora mazita inonzi Healthcare Common Procedure Coding System (HCPCS uye inonzi "hukoko hunotora.")

Iva nechokwadi chekuti makodhi enyu ezvokurapa anoramba aripo-kusvika-pane mazano eHCPCS. Kuchinja kune hutano hweHCPCS kunongororwa nguva nenguva nekuda kwemitemo mitsva inokurudzirwa kune nzira itsva uye nheyo dzezvino dziri kuvandudzwa kana kurasikirwa.

Zvimwe

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Nguva Yakadhindwa

Iva nehanya nenguva yekuisa nguva dzemazuva ehurumende yehupfumi. Mimwe mienzaniso yekutengesa nguva dzenguva dzinosanganisira:

• United Health Care: Mitsara yokudhinda panguva yakatarwa inotsanangurwa mubvumirano wekupa
• Cigna: Kunze kwekuti mutemo wemitemo kana chimwe chikamu chinoshanda -
  1. Vabatsiri vehutano vanobatana nehutano vane mwedzi mitatu (3) (mazuva 90) mushure mezuva rebasa.
  2. Kunze kwe-network providers vane mwedzi mitanhatu (6) (mazuva 180) mushure mezuva rebasa.
• Aetna: Kunze kwekuti mutemo wenyika kana chimwe chikamu chinoshanda -
  1. Vanachiremba vane mazuva makumi mapfumbamwe kubva pazuva rebasa kuti vape mvumo yekubhadhara.
  2. Zvipatara zvine gore rimwe kubva pazuva rebasa rekupa chikwata chekubhadhara.
• TRICARE: Zvikwereti zvinofanira kuendeswa mukati megore rimwe mushure mezuva rebasa.

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Kwete Kurefera paFiripi

Mimwe mitemo inoda kuti murwere anowana kutumirwa kubva kuchiremba wemhuri asati agadziriswa mabasa.