Zonke iintlawulo zonyango ezithengiswayo zenziwa kubaboneleli ngokusekelwe kwiikhowudi ze-CPT, iikhowudi zobugcisa zenkqubo. Ikhowudi nganye imele inkonzo ethile, umsebenzi, umkhiqizo, okanye inkqubo enikezelwa kwisigulane abanokuyilwayo, kwaye bahlawulwe ukuba benze nge-inshurensi okanye abanye abahlawuli.
Ngamanye amaxesha iinkonzo kufuneka zihlale zihlangene kwaye xa zenza kwaye zisoloko zihlawuliswa ndawonye, ziyakwazi ukufakwa kwiikhowudi enye.
Indlela Ukuqokelela Ukusebenza
Nasi umzekelo ongekho unyango kodwa uya kukunceda uqonde ukuba njani kwaye kutheni ukuba kuqhutywe i-bundling.
Ufuna ibhotela ye-peanut kunye ne-jelly sandwich. Ukukunika ibhotela ye-peanut kunye ne-jelly sandwich, kufuneka sidibanise isonka, ibhotela, ne-jelly; zibeke phezu kweplate; kwaye ikunike i-napkin yephepha. Beka ndawonye, sikunikezele ngenkonzo yokwenza nokuhambisa iPB kunye noJ.
Ukuba omnye umntu usibhatala ukuba senze kwaye sinikele eso sandwich kuwe, kufuneka ukuba ahlawule ngalinye lazo zixhobo: ibhotela ye-peanut, i-jelly, isonka, i-napkin yephepha, ukusetyenziswa kwetafile kunye nexesha. Okanye, endaweni yokubheka iicandelo ngalinye, ziyakuthabatha zonke ezo zixhobo ndawonye kwinkokhelo enye-i-PBJ yokuhlawula. Isebenza kakuhle, kwaye intlawulo ingenziwa ngokukhawuleza.
Iikhowudi zoNyango zezoNyango
Iimveliso zonyango kunye neenkonzo zinokubanjelwa ngendlela efanayo ngendlela yokudala ikhowudi enye yokukhokha, mhlawumbi yenza kube lula kubo bobabini kunye nomhlawuli ukulawula iintlawulo.
Icandelo lomntu ngamnye lingafumaneka kwinani elingenamkhawulo lamakhowudi. Ngokomzekelo, ikhowudi ye-CPT yokunika injini yikhowudi enye. Yintoni ejoyiweyo iya kuba enye ikhowudi. Isizathu sokuba ijojwe kusekho enye ikhowudi. Ngoko ikhowudi yejoyi, okanye ikhowudi yezinto, ingabhalwa ngaphakathi kwimiqulu emininzi, kuxhomekeke kwisicatshulwa esicatshulwayo, ukuba ijojowe njani okanye isizathu sokuba ijojowe (umkhuhlane wokukhukhumeza umlenze we-cortisone ngegciwane, umzekelo).
Ininzi yexesha, nokuba ingahlawulwanga iintlawulo, ayinakuchaphazela ukunakekelwa kwesigulane okanye ukuhlawulwa (i-copays, i -inshurensi yoqhagamshelwano okanye i- deductibles ).
Iingxaki ngeeNkcukacha zezoNyango
Iingxaki zivela xa isigulane sidinga into eyongezelelweyo engabandakanywa kwintlawulo yokuthenga. Abathengi abanakho ukubuyisela imali engaphezulu kwento. Oku kungenza umboneleli anqabile ukubonelela ngenkonzo ukuba akakwazi ukuhlawulwa kwakhona. Baya kuhlawulisa isiguli esongezelelweyo, ngexabiso elipheleleyo, ukubonelela ngenkonzo. Izigulane zifuna ukuba zikhangelwe kule hlobo lokuhlawula eyongezelelweyo ngenxa yokuba inokubangela ukulinganisela ukuhlawula okanye ukukhishwa kweekhowudi , ezo zombini ezingekho mthethweni .
Ukuba ufumana ikhowudi ye-CPT kwiNgcaciso yakho yeZibonelelo (EOB), kwaye inayo B eceleni kwayo, ebonisa ukuba ihlanganisiwe. Nangona kunjalo, akuzona zonke iikhowudi ezinokubakho ziquka i-B.
Unokwazi ukubheka iikhowudi ze-CPT ezithengiswayo njengokuba unako nayiphi na ikhowudi ye-CPT.
Iikhowudi ze-HCPCS zikhowudi zokuhlawula i-Medicare, ngokusekelwe kwiikhowudi ze-CPT, kwaye nazo zinokuphangwa. Unokwazi ukubheka iikhowudi ze-HCPCS okanye i-HCPCS .