Provider Benefits Puzzle

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
6. THIS IS THE VISION VENDOR FOR SEHP MEMBERS
10. FOR SEHP WE WILL COVER ONE BREAST PUMP PER _____
12. THIS STOP PAY CODE MEANS THE PROVIDER IS INELIGIBLE
15. THIS IS REQUIRED FOR INPATIENT STAYS
16. ARE YOU CONTRACTING AND PPO WITH YOUR ____ BCBC?
18. IF A SERVICE IS COVERED UNDER MEDICAL AND DENTAL, THIS BENEFIT APPLIES FIRST
19. THIS LEVEL OF CARE IS EXCLUDED ON VOLUNTARY DENTAL
21. THE PRESCRIPTION BENEFITS ARE INCLUDED IN THE MEDICAL BENEFITS

1. SITE OF CARE
3. PROVIDERS CAN USE THIS SELF-SERVICE PORTAL TO OBTAIN BENEFITS
4. ICAP 187
5. OUR PHARMACY BENEFIT MANAGER
7. HOW OFTEN IS THE FORMULARY LIST REVIEWED?
8. THIS PENALTY EXCLUSION INDICATES ALL PENALTIES ARE EXCLUDED
9. 207 IS THE LOB CODE USED FOR THIS TYPE OF BENEFIT
10. THIS CONTRACT ARRANGEMENT INDICATES THEY ARE A SELECT HOSPITAL
11. KIDNEY AND ____ TRANSPLANTS DO NOT REQUIRE PRIOR AUTHORIZATION
13. TYPE OF SERVICE TWO
14. CALL US ANYTIME WE'RE ____ FOR YOU
17. ___ DRUG IS WHEN A PHARMACIST HAS TO SPECIALLY MIX INGREDIENTS TOGETHER
20. THEY CONDUCT UTILIZATION MANAGEMENT FOR MENTAL HEALTH AND SUBSTANCE USE SERVICES