Notice
Monday, January 19: Our Customer Service center will be open from 8:00 a.m. to 5:00 p.m. in observance of Martin Luther King Jr. Day and will have reduced staffing levels which may result in longer wait times than usual . To view benefit information and claim status at any time, you can sign into your account or use our Interactive Voice Response System 24/7 at (800-452-9310).
Procedure Code Lookup
The updated Procedure Code Lookup (PCL) tool is even better equipped to help your office look up:
With its easy-to-use self-service options, the PCL tool can help you answer questions more efficiently and effectively with these features at your fingertips:
Some instances may still require a call, including inquiries about DeltaCare and Flagship.
Watch this short video to learn more.
- Procedure codes,
- Benefit coverage, and
- Individual patient history
With its easy-to-use self-service options, the PCL tool can help you answer questions more efficiently and effectively with these features at your fingertips:
- Convenient access: The tool is located on our Patient Benefits Details page and can be accessed after you enter patient-specific information.
- Comprehensive information: Upon entering a procedure code, the tool is designed to display the following categories of information:
- Class of Service
- Covered | Not Covered | Elective | COTC & Preauthorization Requirements | Age limitations (code and/or contractual)
- Frequency limitations and usage
- Treatment History and Related Treatment History returned for the dates within the procedure frequency time limitations.
Some instances may still require a call, including inquiries about DeltaCare and Flagship.
