Provider Benefits Puzzle

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Across
  1. 2. IF THE POLICY HAS THIS, THEN THE AMOUNTS FROM THE LAST THREE MONTHS OF THE BENEFIT PERIODS DEDUCTIBLE ARE ADDED TO THE CURRENT BENEFIT PERIOD DEDUCTIBLE
  2. 6. THIS IS THE VISION VENDOR FOR SEHP MEMBERS
  3. 10. FOR SEHP WE WILL COVER ONE BREAST PUMP PER _____
  4. 12. THIS STOP PAY CODE MEANS THE PROVIDER IS INELIGIBLE
  5. 15. THIS IS REQUIRED FOR INPATIENT STAYS
  6. 16. ARE YOU CONTRACTING AND PPO WITH YOUR ____ BCBC?
  7. 18. IF A SERVICE IS COVERED UNDER MEDICAL AND DENTAL, THIS BENEFIT APPLIES FIRST
  8. 19. THIS LEVEL OF CARE IS EXCLUDED ON VOLUNTARY DENTAL
  9. 21. THE PRESCRIPTION BENEFITS ARE INCLUDED IN THE MEDICAL BENEFITS
Down
  1. 1. SITE OF CARE
  2. 3. PROVIDERS CAN USE THIS SELF-SERVICE PORTAL TO OBTAIN BENEFITS
  3. 4. ICAP 187
  4. 5. OUR PHARMACY BENEFIT MANAGER
  5. 7. HOW OFTEN IS THE FORMULARY LIST REVIEWED?
  6. 8. THIS PENALTY EXCLUSION INDICATES ALL PENALTIES ARE EXCLUDED
  7. 9. 207 IS THE LOB CODE USED FOR THIS TYPE OF BENEFIT
  8. 10. THIS CONTRACT ARRANGEMENT INDICATES THEY ARE A SELECT HOSPITAL
  9. 11. KIDNEY AND ____ TRANSPLANTS DO NOT REQUIRE PRIOR AUTHORIZATION
  10. 13. TYPE OF SERVICE TWO
  11. 14. CALL US ANYTIME WE'RE ____ FOR YOU
  12. 17. ___ DRUG IS WHEN A PHARMACIST HAS TO SPECIALLY MIX INGREDIENTS TOGETHER
  13. 20. THEY CONDUCT UTILIZATION MANAGEMENT FOR MENTAL HEALTH AND SUBSTANCE USE SERVICES