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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