Devin01
Guru
- 430
Devin,
Here is a brief summary of how it works:
1. Member presents Lasso Healthcare MSA card at point of service. There is a $0 copay for primary and specialist, etc. We prefer that the member not pay at POS, but theoretically, they can and then get reimbursed later, if they overpay.
2. Provider bills Lasso. Lasso adjusts the claim to lesser of Medicare allowable rates or actual charges and sends the EOP (explanation of payment) to the provider. If under the deductible there is no payment from Lasso Healthcare, if over the deductible, the EOP includes payment to the provider.
3. Provider bills Member the allowable amount under the deductible. Member can pay with the deposit money (via debit card) or other funds. If member paid at POS, the provider would need to refund them.
4. Lasso Healthcare provides a monthly EOB (explanation of benefits) to the member the month following the claims month (we mail EOB's in February for January claims).
Additionally, the member can call our member service line regarding claims questions!
Thanks, Craig, your team did not explain it to me quite this simply. Looking to do more next aep with LASSO.
Question, for your top LASSO producers are they having success selling HIP products with it?