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Submitted URL: http://ssbci.rrd.com/
Effective URL: https://www.veritas-solutions.net/Attestation/
Submission: On February 28 via manual from US — Scanned from DE

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Where is my member ID FAQ


ATTESTATION FOR SPECIAL SUPPLEMENTAL BENEFITS FOR THE CHRONICALLY ILL

Welcome!

Our health plan provides Special Supplemental Benefits for Chronically Ill
(SSBCI) to our highest-risk members who meet specific criteria for eligibility
based on CMS guidelines.

To determine eligibility, our members are required to schedule an office visit
with their provider for evaluation.

We ask that you:

 1. Evaluate your patient against the required criteria on the next screens.
    Please review this link of eligibility criteria before proceeding.
 2. Submit an attestation form (via this website) indicating if your patient
    currently meets the criteria.
 3. Submit a claim containing the appropriate ICD-10 codes from this office
    visit indicating a member has been diagnosed with one or more qualifying
    chronic conditions

After we receive and validate all criteria are met, we will send an approval or
denial letter to the member to let them know if they meet the criteria and how
to activate the member benefits.

Contact our Provider Customer Service department with any questions

Create Attestation

For Provider Use Only. Confidential and proprietary. For questions about
attestation status, SSBCI Benefits, or eligibility requirements,
Please contact Provider Customer Support.