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Prior to the 2010 benefit year, information available through the Federal Employee Program (FEP) Interactive Voice Response (IVR) phone system was limited to eligibility, benefits and claim status requests. We are pleased to announce that, beginning in April, you may also obtain visit accumulations and out-of-pocket maximums for FEP members via the automated phone system, rather than waiting to speak with a customer advocate.
By using these additional FEP IVR options, you will be able to access the latest applicable information on file for your patient. The enhancement includes both individual and family calendar year amounts for Standard Option members, catastrophic out-of-pocket accumulations and visit accumulations, including chiropractic care, physical, speech and occupational therapies, nutritional counseling and acupuncture.
To verify eligibility and benefits, check claims status, obtain visit accumulations and confirm out-of-pocket maximums for FEP members, call (800) 972-8382. The FEP IVR is available 24 hours a day, seven days a week. For assistance with navigating the automated phone system, please refer to the general IVR Caller Guide in our online Provider Library.
Verification of eligibility and/or benefit information is not a guarantee of payment. Benefits will be determined once a claim is received and will be based upon, among other things, the member’s eligibility, any claims received during the interim period and the terms of the member’s certificate of coverage applicable on the date services were rendered.
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