Nurse helping a patient

  • Why my application is denied?

    Please review the Application Guide.

  • How long the Spenddown Information is available?

    The spenddown information is available during the adjudication of the claim prior to submission of the claim as an encounter.

  • How I can verify coverage?

    You can search for detailed coverage information by selecting: Member ID or Name and DOB (Date of Birth) or SSN and DOB or Newborn.

See All FAQs

  • Check Provider Capacity & Restrictions
  • Check Eligibility
  • Search Providers
  • Spenddown Claim Inquiries
  • Update Spenddown

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