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Thank you for calling with SafeCross of California. This is Eddie.How can I help you? | Hi Eddie, my name is Brianne A. I would like to check the eligibility and benefits for outpatient physical therapy, please |
I am happy to help you with the eligibility and benefits. May I please have the following details? Office name, Tax ID or NPI, Patient鈥檚 name,Patient鈥檚 date of birth,Subscriber ID | Office name is St. Lukes Medical Center, Tax ID is 912654852 ,NPI is 741852963, Patient Name is John Doe, Date of birth is 10/10/2004 and Subscriber ID is 8465123 |
May I know the date of service? Is the service rendered in California? Are you in network to provider? | date of service is today. We are rendered in California and we are in-network |
May I have the accumulations? and is there a vist limit? | There is no visit limit, but it should be based on medically necessary.Written prescription is required.For in-network deductible, as of 03/19/2024, the individual used is 377.72 towards the maximum of 1000.00, while the family used is 377.72 towards the maximum of 3000.00.For in-network out-of-pocket, as of 03/19/2024, the individual used is 377.72 towards the maximum of 2500.00, while the family used is 377.72 towards the maximum of 5000.00. |
is pre-cert required for CPT codes 97161, 97164, 97110, 97140, 97530 | Upon checking the procedure code 97161, 97164, 97110, 97140, and 97530 doesn't need authorization but it should be based in medically necessary. |
How can I help you? | Hi I am Lisa Miller, Calling from Labcorp. I am calling for verify eligibility of a member. May I please have you name? |
Hi my name is Jacob. I am happy to assist you with that. May I please have the facility name? | The facility name is St. Lukes Medical Center |
What is the facility name? | The facility name is St. Lukes Medical Center |
What is the Tax ID and NPI? | The Tax Id is 1574983 and the NPI is 95135744 |
What is the Patient's name? | The patient's name is Stephen Dela Cruz |
What eligibility question do you need? | Is the member's plan active? |
Yes, the member's plan is still active. | What is the effective date? |
The effective date is January 1 2024 | What is the termination date? |
There is no termination date. | Thank you for providing me the eligibility details. That is all I need to verify. Have a great day! Goodbye. |
What is the Facility name, Tax id and NPI? | The Facility name is UncleJohnny. The Tax Id is 54231 and NPI is 95830 |
What is the Patient's name and subscriber id? | The patient's name is Kobe Jordan and Subscriber ID is 8465048 |
Is there anything else I can assist you with? | No, thank you. |
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