C2A
Less invasive way to offer Plan education.
What is asking permission?
Where the most recent routine services can be viewed.
What is the Recent Screening?
What is the Care management and incentives tab?
Taking additional time to identify and help solve members needs is performing _________
What is advocacy?
What is Plan Advisor expectation?
This is where you can locate if the employer group has chosen to use the Plan Advisor model.
What is the top section of the HPDB?
This is a program helps provide prenatal education, and helps identify highrisk pregnancies.
What is Maternity Management?
Where OI and AD needs can be found.
A member states they will be receiving services from a tier 2 provider, you perform this service.
What is Network Steerage?
You can find products and tools used by the plan in this tab.
This program has a team of RNs and Social Workers available to assist with in-depth, clinical questions.
What is +Care Connect?
C2A should be completed on every call for _____.
What is both members and dependents?
Where dental benefits can be located quickly and easily.
What is the benefits and claims tab?
You offer this service when a Member states they have been unable to get in touch with a provider to schedule an appointment.
What is Offer to schedule for the member?
Additional programs offered by the plan can be found here.
What is the Plan Advisor tab?
What is Case management?
Any doctors visit completed via internet or phone, also an educational opportunity before ending call.
Where available programs can be located.
What is the Care management and incentives tab?
What is the Program Enrollment tab?
A member is unfamiliar with what services can be paid at 100% you offer information on _________.
What is preventative services?
What is routine services?
This is where the dental plan benefits are housed.
What is the DPDP?
Helps educate and direct members receiving infertility service.
What is fertility solutions?
Where member can be directed when asking the cost of a service.
What is the Cost Estimator Tool?
Where you can see the coverage the member has.
What is the Member snap shot?
How you indicate what advocacy items were discussed.
What is the C2A Screen pop?
What is Calltrak?
Plan specific exceptions, or more in depth detailed description of special procedures for the group can be found in this tab.
What is the Special Covered Services tab?
This program offers support for people diagnosed with ongoing conditions.
What is Disease management?