Online benefit information now available through Benefit Explainer

As you may have read on web-DENIS in November, we recently made it easier for you to look up benefits for your patients.

We added a tab in Benefit Explainer called Online Benefits Information. This tab will give you the option of viewing online benefit charts for our members (the same ones that members have access to).

The online benefit charts will display benefit information in clear, simple and non-technical language. The features of the Online Benefits Information tab include medical and hospital benefits, prescription drug information and dental, vision and hearing benefits.

Here’s how to find this information:

1. Log in to web-DENIS
2. Click on Subscriber Info and then on Eligibility/Coverage/COB.
3. Enter your patient’s contract information.
4. Click on the links in the detailed benefits section to launch Benefit Explainer.
5. Once Benefit Explainer opens, click on the BPR tab to populate your patient’s contract information in the dashboard.
6. When you click on Search, you’ll see the new Online Benefits Information tab (located to the right of the Quickview Report tab), with benefit information below.

Keep in mind that not all member benefit information will be available in the Online Benefits Information tab. For example, you won’t get results for members with inactive benefit packages, Medigap members, members who buy their insurance on the individual market and those who are part of groups that aren’t on the Michigan Operating System.

Also, the information in the OBI tab and benefit chart is a summary of benefits and doesn’t include the member’s legal certificates and riders.

All other features of Benefit Explainer haven’t changed and are still available.

If you have any questions, contact Provider Inquiry. You can also ask your provider consultant to train you on the new Online Benefits Information tab.