What benefits will providers see if they inquire about a patient between 91 days on the patients plan and the time a valid qualification form is received by Priority Health?
Since Priority Health will wait a few weeks for all information to be received before actually moving members to the Standard level of benefits if they do not meet the requirements, the provider will still see the patient’s Choice benefits past day 90. It will be emphasized in provider training that the patient may actually be moved to the Standard level of benefits retroactive to day 91.
