Wednesday 20th of November 2024 11:24:20 PM
[{"id":"1","text":"School Unaudited Approval"},{"id":"2","text":"School Audited Approval"},{"id":"3","text":"SIS Audited Approval"},{"id":"5","text":"Appeal Override"},{"id":"6","text":"Re-Audit"},{"id":"7","text":"Other"}]
{"3":"Invalid Student First Name\r
Invalid Student Last Name\r
Invalid Student Gender\r
Invalid Student Date of Birth\r
\r
Please review your application and notify us if one of these pieces of information is incorrect. If your application is correct, this indicates that your insurance provider does not have the correct information, and you will need to contact them to find out what needs to be updated in their records. Usually this is an error in the date of birth, but it can also be a name change due to marriage. Please notify us after you have spoken with them to advise us of the action that is being taken so we can re-audit your application.","4":"Invalid Insurance Company Name\r
Invalid Insurance Company Phone Number\r
Invalid Insurance ID (Member or Subscriber ID Number)\r
Invalid Insurance Group Number\r
\r
The insurance information you entered has an error. Please upload a front and back copy of your current insurance ID card, and update your insurance information so that it can be re-audited.","5":"Invalid Primary Subscriber First Name\r
Invalid Primary Subscriber Last Name\r
Invalid Primary Subscriber Date of Birth\r
Invalid Primary Subscriber Gender\r
Invalid Primary Subscriber Relation\r
\r
Please review the information you have entered for the primary subscriber and make any necessary corrections in your application before re-submitting. If you have any questions, please contact us. ","6":"Auditor was unable to complete the audit.\r
\r
Please contact us for assistance in completing your waiver requirement.","7":"Carrier refuses to disclose to Out-of-Network (OON) provider.\r
\r
Please contact us for assistance in completing your waiver requirement.","8":"Policy is not active.\r
\r
Your insurance provider has indicated that your plan was terminated or is not yet in effect. Please verify that you have entered your currently active insurance information, and if you have not, please update your application and re-submit it. If you believe the information you entered is for an active policy, please contact your insurance provider to ensure that you have the correct member\/subscriber ID number for the current plan year, as some providers change ID numbers every year. Please contact us if your insurance company confirms that the ID number you entered in the application is an active policy.","10":"Plan has an annual or lifetime maximum benefit cap\r
Plan is a limited benefit or short-term medical plan\r
Plan does not cover the essential health benefits\r
\r
The waiver requirements set forth by your school state that you must have coverage that does not have a maximum limit for the benefits it will pay and must cover the essential health benefits. The plan you submitted has one or more of the limitations listed above and does not meet the waiver criteria. If you believe this is in error, please verify your coverage limits with your insurance provider. Please contact us if you have a grandfathered plan (a plan that you were enrolled in prior to March 23, 2010, have maintained continuous coverage in, and has been granted grandfathered status under current healthcare regulations) as your plan may be reviewed for approval. You may update your waiver application and re-submit it if you have obtained different coverage that meets the waiver criteria.","11":"Plan does not provide non-emergency services in the school area","20":"This plan does not meet the school's minimum coverage requirement as it does not provide coverage for essential health benefits or minimum essential coverage.","2":"Unknown\r
\r
Please contact us for assistance in completing your waiver requirement.","99":"VOID"}
https://portal.sis-inc.biz/
Array
Array Array