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Request for Service Reimbursement from Out of Network
- Verify that patient has MAP coverage in VeritySourceTM
- Inform the caller that “Central Health has a policy that they will not pay for services received by MAP clients outside of TravisCounty”. (NOTE: This applies to services already performed and to requests to perform services in the future, i.e. client is at their facility.)
- If the caller indicates they need a letter indicating the request for reimbursement has been denied, utilize the Contacts Module, CIHCP Reimbursement, Out-of-Co. Req. for Reimbursement, and select Out-of-County Req for Reimburse as the referral.
- Obtain the following information and record it in the Contacts Module Notes:
- Name and title of caller
- Entity name
- Address
- Fax
- Telephone number