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Screening pap test. In-office procedures are restricted to a specific list of tests that relate to the specialty of the provider. Once your account has been created you will only need your login and password. Payors > MultiPlan If you are admitted to the hospital, they will ask you whether you have signed an advance directive form and whether you have it with you. 410 Capitol Avenue Eligibility, Benefits & Claims Assistance, If you dont see the network listed on your ID card please contact our Customer Service at, Please be sure to verify your providers network access with your provider's office directly prior to receiving services. The admitting physician is responsible for preauthorizing elective admissions five (5) working days in advance. If you need assistance If you encounter issues when scheduling appointments with PHCS Network providers, call us at 866-685-7427. These plans, sometimes called "Part C," provide all of a member's Part A (hospital coverage) and Part B (medical coverage) and may offer extra benefits too. We are a caring community dedicated to keeping our members healthy, happy, and in control of their well-being. Information is protected as stated in ConnectiCares policies. In these cases, you must request an initial decision called an organization determination or a coverage determination. They should be informed of any health care needs that require follow-up, as well as self-care training. Box 450978 Westlake, OH 44145. If you have not signed an advance directive form, the hospital has forms available and will ask if you want to sign one. This includes the right to leave a hospital or other medical facility, even if your doctor advises you not to leave. Prior Authorizations are for professional and institutional services only. You also have the right to ask us to make additions or corrections to your medical records (if you ask us to do this, we will review your request and figure out whether the changes are appropriate). All oral medication requests must go through members' pharmacy benefits. Note: Presentation of a member ID card is not a guarantee of a member's eligibility.