The Window to Coverage and Benefits

Coverage and Benefits For a clinic to run efficiently, the staff must be familiar with the terms Summary Plan Documents (SPD); Summary of Benefits and Coverage (SBC); Payer Medical Review Policy (MRP); Payer Reimbursement Policy; Policy Guidelines; Payer Clinical Guidelines, and the Provider Manual. The mini-class titled MRP-What Does It Mean to Me? provides a…

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Commercial Health Insurance Verification Mastery

This tutorial provides tips and tricks for the clinic to master the verification process. The staff member will learn how to use the verification template for gathering information that can assist with reimbursement. We even provide a peek at the many resources a clinic can find online via payer portals that help the clinic avoid…

Oops, your level of membership doesn’t include access to these full training courses. Please reach out to the HelpDesk to learn more about accessing these trainings and resources. Click here to learn more.