Get Mrt Insurance Verification Worksheet

The MRT Insurance Verification Worksheet is a crucial document for patients seeking to verify insurance coverage for MRT services. This guide will provide you with clear and detailed instructions on how to fill out the worksheet online effectively.

Follow the steps to accurately complete the MRT Insurance Verification Worksheet.

1. Click ‘Get Form’ button to access the MRT Insurance Verification Worksheet. This will allow you to open the form in the online editor.
2. Begin by contacting your insurance company to gather the required information. Fill in the date and time you contacted them, along with the name of the insurance representative you spoke to.
3. Record whether pre-approval is necessary for out-of-network labs. If it is required, note down the procedure for obtaining it, as Oxford needs to see written pre-approval.
4. Fill in your yearly out-of-network deductible and how much of it has already been met.
5. Indicate the percentage that your insurance covers for out-of-network labs and whether your insurance covers CPT Code 83516, a specific blood test code.
6. Check if your insurance imposes any limits on the number of units tested for CPT Code 83516 and write that information down.
7. Make sure to document the confirmation number for your phone call with your insurance company.
8. Next, contact Oxford at 1-888-669-5327 to determine your insurance assignment eligibility and co-insurance amount. Record the co-insurance amount that you need to include with your blood specimen.
9. Write down the name of the Oxford representative you spoke with during this call.
10. Ensure that the completed MRT Insurance Verification Worksheet is submitted along with your blood specimen, along with required documentation such as a photocopy of your insurance card and signed Insurance Release.
11. Once you complete the worksheet and gather all necessary documents, save your changes, download a copy for your records, and print it as needed for submission.

Take the next step in your healthcare journey by completing the MRT Insurance Verification Worksheet online today.