Your 1199SEIU Patients Are Getting Screened for Colon Cancer at Low Rates
Although early detection is key to successfully treating colon cancer, only 40 percent of 1199SEIU members over age 45 have been screened for the disease—well below the national average.
You are our most important partner in helping our members—your patients—get screened. We regularly communicate the importance of colon cancer screenings to our members and provide coverage not only for colonoscopies but also for Cologuard, the at-home screening method. While we understand that Cologuard may not be right for all patients, we encourage you to discuss this alternative with your 1199SEIU patients for whom it may be appropriate but who are reluctant to get a colonoscopy. For more information about the Cologuard Collection Kit, please visit www.CologuardTest.com.
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ClaimsXten Select Frequently Asked Questions (FAQs)
ClaimsXten Select is a clinically based claims-editing software solution that advances claims-auditing capabilities and resolves limitations in the current ClaimCheck software. ClaimsXten Select offers clinical coding logic and rules-based claims management with the...
Benefit Funds to Upgrade Our Claims Auditing Software
Effective March 1, the Benefit Funds will upgrade our claims-auditing platform, from ClaimCheck to ClaimsXten, to meet our needs for a more comprehensive and well-known solution that is used by many payers to adjudicate applicable claims according to prevailing...
Your 1199SEIU Patients Are Covered for Certain Coronavirus and Antibody Tests
The Benefit Funds are covering diagnostic testing for the coronavirus, as well as antibody testing when medically necessary, for your 1199SEIU patients. The Funds will not cover employment-related tests, antibody tests when there was a previously confirmed COVID-19...
The Benefit Funds Have Your 1199SEIU Patients Covered During the COVID-19 Pandemic
During this COVID-19 pandemic, the Benefit Funds have worked to support the care that you, our valued partners, provide to your 1199SEIU patients by helping to ensure they can access the testing and medical care they need. The Funds are covering diagnostic testing for...
We Are Temporarily Covering Telehealth Services for Your 1199SEIU Patients
Effective March 18, 2020, we are covering telehealth services for your 1199SEIU patients in an effort to help everyone limit contact with others during the COVID-19 crisis. We will cover consults via phone, video and other virtual means for all eligible medical and...
Verify Your 1199SEIU Patients’ Eligibility and Claims Online
We know how important it is for our participating providers to have access to real-time information on their 1199SEIU patients’ claims status and eligibility for services. That’s why we offer a quick and convenient way for you to view this information online, through...