Friday, January 13, 2017

Pre-Existing Conditions Application in Facets

Facets Medical Plan application group has an application called Pre-Existing Conditions application.

The Pre-Existing Conditions application allows you to establish diagnosis codes that might indicate conditions that existed before a member joined specific Health Plan. When a line item with one of the diagnosis codes listed in this application is processed for the member for either claims or Utilization Management or Pre-Authorizations or referrals, and the service date falls within the period indicated on the Administrative Information application, Facets displays the warning message, Possible Pre-Existing Condition.

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