Escalations
Member threatens to sue health insurance.
What is urgent escalation?
Person who answers states that their relative (member) has moved to a different city and has a different phone number.
What is Outbound Call - Wrong Number?
Measures your average blood sugar for the past two to three months.
What is A1c test?
You can only reply to members of this client if the SSH explicit consent is marked.
What is Molina?
It is a client that is in the Defined Engagement Program (DEP).
What is UHC WA, What is UHC WI,...?
The following escalation note is missing one main section: "Member wants replacement card."
What is CHG's action?
UHCNY block: Women's Health
Outcome: Member has already had appt.
What is Outbound Call - Connected > WWV: Member reports already completed appointment for Well-Woman Visit?
Includes diagnosis and treatment of non-medical complaints, like astigmatism, or farsightedness...
What is routine eye exam?
The sub code "other" is used across all clients for this specific outcome and it is highlighted in red in the master sheet?
What is Sensitive Keywords: kill, die, suicide?
Health plan with all members in the West coast.
What is Molina?
Member request to be called to complete SDOH screener.
What is Do Not escalate?
Member answers the phone, goes through verification and answers one screener question and hangs up.
What is Outbound Call - Connected>opt in?