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MVC Add Acuity Insurance - Coggle Diagram
MVC
Add Acuity Insurance
Acuity Add Insurance & Acuity Insurance Calculation
Is the correct insurance plan listed in Acuity?
<btn> Yes <btn>
<btn> No <btn>
Tag
Correct Insurance Listed in Acuity:
Yes
You may be having a plan calculation issue. Please provide the following details:
Item Name(s) not calculated correctly: {Single textbox]
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Items Not Calculated Correctly:
Correct Amount Due from the patient: {Single textbox]
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Correct Amount Due from the patient:
<btn> Continue <btn>
Continue
Provide these additional details:
Medical Office #: {Single textbox]
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Medical Office #:
Patient Name: {Single textbox}
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Patient Name:
Patient DOB: Calendar Entry
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Patient DOB:
DOS or Appointment date: Calendar Entry
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DOS or Appointment date:
Insurance Carrier: {Single textbox]
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Insurance Carrier:
Please describe any additional insurance benefits details that may assist in resolving this: {Multiline textbox}
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Additional details:
<btn>Continue<btn>
<btn>Cancel<btn>
Continue
Would you like to chat with an agent?
<btn> Yes
<btn> No
Yes
1 more item...
No
1 more item...
Cancel
Is there anything else...
No
Have you checked your states ICL list on the MVC Hub to make sure we accept this insurance?
<btn> Yes <btn>
<btn> No <btn>
Yes
Is this for a medical carrier?
<btn> Yes <btn>
<btn> No <btn>
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For Medical Carrier:
Yes
Do you have a copy of the insurance card?
<btn> Yes <btn>
<btn> No <btn>
Tag
Insurance Card Copy:
Yes
1 more item...
No
1 more item...
No
Please provide a copy of the Vision Carriers benefit plan details in the next step. Attaching this document helps us support your request.
<btn>Next<btn>
Provide these additional details:
Medical Office #: {Single textbox]
Tag
Medical Office #:
Patient Name: {Single textbox}
Tag
Patient Name:
Patient DOB: Calendar Entry
Tag
Patient DOB:
DOS or Appointment date: Calendar Entry
Tag
DOS or Appointment date:
Insurance Carrier: {Single textbox]
Tag
Insurance Carrier:
Please describe any additional insurance benefits details that may assist in resolving this: {Multiline textbox}
Tag
Additional details:
<btn>Submit<btn>
<btn>Cancel<btn>
2 more items...
No
Please verify your ICL List and return to the bot when you're ready.