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Vision services including any services rendered by an Optician, Optometrist or Ophthalmologist need to be verified by Envolve Vision
Dental services need to be verified by Envolve Dental
Complex imaging, MRA, MRI, PET, and CT Scans need to be verified by NIA
Musculoskeletal Services need to be verified by Turning Point
Services provided by Out-of-Network providers are not covered by the plan. Join Our Network
Are Services being performed in the Emergency Department?
|Types of Services||YES||NO|
|Are the services being performed or ordered by a non-participating provider?|
|Is the member being admitted to an inpatient facility?|
|Are anesthesia services being rendered for pain management or dental surgeries?|
|Is the member receiving hospice services?|
|Are services being rendered in the home, excluding Sleep Studies, DME, Medical Equipment Supplies, Orthotics and Prosthetics?|