The Group Coverage Setup page displays a snapshot view of the parameters and rates for a given Group policy. This includes the coverage status, authorization numbers, limits, rates, Funder etc.
You can edit the following policy details by clicking the edit button located in the top right-hand corner of the page.
It is also possible to add/remove Service Units by clicking the Add link in the Coverage Rates section or by clicking the minus (-) icon located next to the applicable Service Unit.
How to Reauthorize a Group Coverage
To reauthorize the Group coverage click the re-authorize link located towards the top of the page. The coverage will be automatically reauthorized and you will be taken to the Group Coverage Setup page of the new coverage. To view a list of all coverages under a Group policy go to the Group Policy Setup page.
For more information on reauthorizing a Group Coverage click here.
How to Roll Over a Group Coverage
To roll over a Group Coverage click the roll over link located towards the top of the page. The policy will automatically be rolled over and you will be taken to the Group Coverage Setup page of the new coverage. To view a list of all coverages under a Group policy go to the Group Policy Setup page.
For more information on rolling over a Group Coverage click here.
How to Add Service Units to a Group Coverage
To add Service Units to a Group Coverage follow the instructions below:
Navigate to the Group Coverage Setup page.
In the Coverage Rate section click Add.
Select or type the name of the applicable Service Unit.
In the By field select $ or %.
Enter a Rate.
Enter a Co-Pay.
Check SSQ if applicable. SSQ refers to a Subsequent Payer rate. If a Funder agrees to be a Subsequent Payer you would check the SSQ checkbox. A Subsequent Payer agrees to pay fees -in full or part thereof- not covered by the primary funder.
Click Save.
How to Edit Group Coverage Service Units
To edit Group Coverage Service Units follow the instructions below:
Navigate to the Group Coverage Setup page.
In the Coverage Rate section click on the name of the Service Unit you would like to edit.
Edit the By field if applicable.
Edit the Rate if applicable.
Edit the Co-Pay if applicable.
Check SSQ if applicable. SSQ refers to a Subsequent Payer rate. If a Funder agrees to be a Subsequent Payer you would check the SSQ checkbox. A Subsequent Payer agrees to pay fees -in full or part thereof- not covered by the primary funder.
Click Save.
How to Remove Group Coverage Service Unit
To remove a Service Unit follow the instructions below:
Navigate to the Group Coverage Setup page.
In the Coverage Rate section click the minus (-) icon located next to the Service Unit you would like to remove.
Confirm that you wish to remove the Service Unit by clicking okay.
The Service Unit will be removed immediately. This action cannot be reversed.