SOBRA EMERGENCY  

1. 1. Select Eligibility from Global Navigation. Select Customer Information from Local Navigation. Select Other Prog. Assist. from Task Navigation.

   2. Click the Add button. The Other Program Assistance Detail page displays.

   3. Select the consumer from the Name drop-down menu.

   4. Select SOBRA Emergency from the Type of Assistance drop-down menu.

   5. Enter the Effective Date of Treatment as the first date of approved program coverage. (This is the same date as the begin date of treatment.)

   6. Enter the End Date of Treatment as the last date of approved coverage. (This is the same date as the end date of treatment.)

   7. Enter the Begin Date of the first day of the SOBRA Coverage Month.

   8. Enter an End Date as the last day of the SOBRA Coverage Month.

   9. Select the appropriate Medical Verified value from the drop-down menu.

   10. Click the Save and Return button.