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How do I search and view covered and non-covered services at the procedure code level?

You will find this information on the "Client Benefit Details" tab within the "Benefits" section.

Where is the "Client Benefit Details" tab?

Step 1: Go to the "Benefits" tab in the green left navigation bar on your screen.

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Step 2: On the "Benefits" landing page, enter client data (e.g. "Client ID" and/or "Client name," etc.).

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Step 3: With your client data entered, you should now see a line item for the client associated with the information you entered. This line item will expand when clicked to reveal members or subscribers for that client.

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Step 4: Once your client has been expanded, search for the member ID you are looking for and click the link within that row.

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Step 5: Once you have clicked a link for a specific member ID, you will be taken to that member's benefits page:

  • Within this page, you will see four tabs of content that you may review for this member.
  • The first tab on the left is labeled "Client Benefit Details" and will be the default view when you visit a member's benefits page

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  • Within the "Client Benefit Details" tab, scroll down to see a list of procedures, stacked in rows. Each procedure row will give you a high level of coverage.
  • For more information about a procedure category, click the small green arrow (5B) next to its name; it will expand to reveal sub-categories (5C) of procedures and their individual coverage details (5D).

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Back
Q:
How do I search and view covered and non-covered services at the procedure code level?
A:

You will find this information on the "Client Benefit Details" tab within the "Benefits" section.

Where is the "Client Benefit Details" tab?

Step 1: Go to the "Benefits" tab in the green left navigation bar on your screen.

UA01-Step01

Step 2: On the "Benefits" landing page, enter client data (e.g. "Client ID" and/or "Client name," etc.).

UA01-Step02

Step 3: With your client data entered, you should now see a line item for the client associated with the information you entered. This line item will expand when clicked to reveal members or subscribers for that client.

UA01-Step03

Step 4: Once your client has been expanded, search for the member ID you are looking for and click the link within that row.

UA01-Step04

Step 5: Once you have clicked a link for a specific member ID, you will be taken to that member's benefits page:

  • Within this page, you will see four tabs of content that you may review for this member.
  • The first tab on the left is labeled "Client Benefit Details" and will be the default view when you visit a member's benefits page

UA01-Step05A

  • Within the "Client Benefit Details" tab, scroll down to see a list of procedures, stacked in rows. Each procedure row will give you a high level of coverage.
  • For more information about a procedure category, click the small green arrow (5B) next to its name; it will expand to reveal sub-categories (5C) of procedures and their individual coverage details (5D).

UA01-Step05BCD