QI Reimbursements

3. / MEAL ALLOWANCE FOR MEMBER ONLY APPLIES WHEN MEMBER IS NOT _____ OR INPATIENT.
4. / APPROVED REIMBURSEMENTS CAN WITHIN _____ WEEKS OF APPROVAL DATE.
5. / HMSA _____ ONLY REIMBURSE MEALS PAID FOR BY CASH, CHECK, CHARGE, OR SNAP/EBT.
7. / ALL QUEST INTEGRATION REIMBRUSEMENT CASES ARE CREATED WITHIN _____ BUSINESS DAYS AFTER REQUEST IS RECEIVED BY THE TRAVEL DEPT.
8. / TIPS AND GRATUITY ARE _____ REIMBURSED UNDER THE QI TRAVEL BENEFIT.
10. / HMSA HAS ONLY ONE CONTRACTED FACILITY THAT PROVIES MEALS, _____.
11. / MEAL ALLOWANCE FOR SAME DAY TRAVEL ARE REIMBURSABLE FOR A MAXIMUM OF _____ DOLLARS PER APPROVED PERSON.
12. / OUR CONTRACTED FACILITY ONLY PROVIDES MEAL TO THE _____ OF MEMBERS WHO ARE RECEIVING INPATIENT TREATMENT.
13. / MEMBERS HAVE _____ YEAR FROM THE DATE OF SERVICE TO SUBMIT THEIR RECEIPTS.

1. / IF REIMBRUSEMENT REQUEST IS DENIED, MEMBER FILE AN _____. THE RIGHTS AND INSTRUCTINOS ARE ATTACHED WITH THE DENIAL LETTER.
2. / REIMBURSEMENT REQUESTS ARE ACCEPTED VIA _____ OR FAX.
3. / A QUEST INTEGRATION REIMBURSEMENT CASE IS CREATED ______ RECEIVING REQUEST.
6. / ALL MEAL RECEIPTS MUST BE _____.
7. / DETERMINATIONS FOR REIMBURSEMENT ARE MADE WITHIN _____ BUSINESS DAYS.
9. / MEAL ALLOWANCE FOR OVERNIGHT STAYS ARE REIMBURSABLE FOR AGE ELEVEN AND OLDER AT _____ DOLLARS PER DAY/PERSON.