DENIAL CARE NOT COVERED

DENIAL CARE NOT COVERED

Dear xxxxxx,

Thank you for contacting Avon Healthcare.

Kindly note that the management of the diagnosis is not listed as part of enrollee's plan

benefit, therefore, we are unable to process request.

Thank you for choosing Avon HMO.

Best regards,

***Name***



    • Related Articles

    • DENIAL

      Dear xxxxxx, Thank you for contacting Avon Healthcare. Kindly note that the management of the diagnosis is not listed as part of enrollee's plan benefit, therefore, we are unable to process request. Thank you for choosing Avon HMO. Best regards, ...

    • CLAIMS SUBMISSION USING PORTAL STEPS FOR ALL PRIMARY CARE SERVICES

      Generate a batch number for the month you are billing for at claim batch. Go to claims submission. Select the batch number you want to work on A tab will display showing the summary for the batch. Enter the enrollee’s member number, please note this ...

    • CLAIMS SUBMISSION USING PORTAL STEPS FOR ALL SECONDARY CARE SERVICES WITH PA CODE.

      Click on claims submission. Select the batch number you want to work on A tab will display showing the summary for the batch. Enter the enrollee’s member number, please note this is not what you are going to input e.g. (AVH/AHL/149067/A), what you ...

    • INFORMING PROVIDERS OF ENROLLEE'S OPTICAL/DENTAL LIMIT

      Dear xxxxxxx, Thank you for contacting Avon Healthcare. Please be informed that enrollee has an optical limit of N50, 000 [Eye tests and glasses i.e. refraction, IOP, frame and lenses] while other services [Consultation, medications] are covered ...

    • AFRTERCARE CALL (WHEN ENROLLEES ARE UNREACHABLE

      Dear xxxxxxxx, Trust your day is progressing greatly, We had earlier tried to reach you via phone (080XXXXXXX) but our effort was to no avail. We would like to hear from you as regards your recent care at Evercare Hospital (AVH/14......) in terms of ...