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MVC Provider Participation/Credentialing - Coggle Diagram
MVC
Provider Participation/Credentialing
Provider Participation/Credentialing
I can help you with creating a request regarding Provider Participation/Credentialing.
Please select the carrier this request is for:
What Carrier is this for?
Medicare/Medicaid
BCBS or other Medical Payers
Large Vision Payers
Small Vision Payers
Tag
Carrier:
<btn>Continue<btn>
Medicare/Medicaid
Please describe your problem/question for this request regarding Provider Participation/Credentialing inquiry:
{Multiline textbox}
Tag
Question:
Add these required fields below:
MED Office #
Patient Name,
DOB
Insurance Name
Insured ID#
Doctor Full Name
<btn>Submit<btn>
<btn>Cancel<btn>
I have created ticket # for you. Someone from the support team will reach out to you.
Ticket Description:
Carrier:{Carrier}
Question:{Question}
Bot creates remedy ticket under Prov Par: Medicaid/Medicare
"BMCServiceDesk
FKCategory
c": "a176e00000Kdh9sAAB"
Ask if user want to Attachment something - Yes or No
Drop Down
Title: Select the issue that best fits your support needs:
<btn>Provider In/Out of Network
<btn>Provider missing in Ins dropdown
<btn>Recredentialing Requests
<btn>Location Information Verifications
Prev Name: Versant, VSP or Envolve
New Name:
Large Vision Payers
Please describe your problem/question for this request regarding Provider Participation/Credentialing inquiry:
{Multiline textbox}
Tag
Question:
Add these required fields below:
MED Office #
Patient Name,
DOB
Insurance Name
Insured ID#
Doctor Full Name
<btn>Submit<btn>
<btn>Cancel<btn>
I have created ticket # for you. Someone from the support team will reach out to you.
Ticket Description:
Carrier:{Carrier}
Question:{Question}
Bot creates remedy ticket under Prov Par: Versant, VSP, Envolve
{"BMCServiceDesk
FKCategory
c": "a176e00000KdhA2AAJ"}
Ask if user want to Attachment something - Yes or No
Dropdown
Title: "Select the issue that best fits your support needs""
<btn>VSP
<btn>Eyemed
<>btnVersant
<btn>Spectera
<btn>Envolve
Drop Down
Title: What issue you need support
<btn>Provider In/Out of Network
<btn>Provider missing in Ins dropdown
<btn>Recredentialing Requests
<btn>Location Information Verifications
BCBS or other Medical Payers
Please describe your problem/question for this request regarding Provider Participation/Credentialing inquiry:
{Multiline textbox}
Tag
Question:
Add these required fields below:
MED Office #
Patient Name,
DOB
Insurance Name
Insured ID#
Doctor Full Name
<btn>Submit<btn>
<btn>Cancel<btn>
I have created ticket # for you. Someone from the support team will reach out to you.
Ticket Descrtiption:
Carrier:{Carrier}
QUestion:{question}
Bot creates remedy ticket under Prov Par: BCBS and Medical
"BMCServiceDesk
FKCategory
c": "a176e00000Kdh9xAAB"
Ask if user want to Attachment something - Yes or No
Drop Down
Title: Select the issue that best fits your support needs
<btn>Provider In/Out of Network
<btn>Provider missing in Ins dropdown
<btn>Recredentialing Requests
<btn>Location Information Verifications
Prev Name: Other
New Name:
Small Vision Payers
Please describe your problem/question for this request regarding Provider Participation/Credentialing inquiry:
{Multiline textbox}
Tag
Question:
Add these required fields below:
MED Office #
Patient Name,
DOB
Insurance Name
Insured ID#
Doctor Full Name
<btn>Submit<btn>
<btn>Cancel<btn>
Please describe your problem/question for this request regarding Provider Participation/Credentialing inquiry:
{Multiline textbox}
Tag
Question:
<btn>Submit<btn>
<btn>Cancel<btn>
I have created ticket # for you. Someone from the support team will reach out to you.
Ticket Description:
Other Carrier:{Other Carrier}
Question:{Question}
Bot creates remedy ticket under Prov Par: Other Vision Carriers
{"BMCServiceDesk
FKCategory
c": "a175A00000GZvDIQA1"}
Ask if user want to Attachment something - Yes or No
Dropdown
Title: "Please select what support you need with""
<btn>Always Care
<btn>CEC
<btn>Eyequest
<btn>NVA
<btn>Avesis
<btn>Premier
<btn>Other Payers
Drop Down
Title: What issue you need support
<btn>Provider In/Out of Network
<btn>Provider missing in Ins dropdown
<btn>Recredentialing Requests
<btn>Location Information Verifications
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