Show me some Empathy
Demonstrate ownership and confidence in handling the Customer's situation
What is an "I Can" Statement
Reviews the documentation/medical records on prior auth requests
Who is a Clinical Reviewer
Primary and secondary belonging to the same classification
What is Diagnosis Code or ICD-10 Code
Where one may see Accomplishments and / or Appreciation
What is Employee Standout / Recognition
Lover of all things Clemson
Who is Diane
Acknowledge that you may feel a negative emotion from the caller
What is Be Aware
Performs outreach to the member
Who is Consumer Engagement
Radiology and Cardiology are one of many
What is the Program Field
Submit reports of all things "Can't Compute"
Who is Tech Central
No Extra points for this Worm Hater
Who is Leslie
Ensure the customer has a clear expectation regarding what will happen next
What is Recap and Provide next steps
Answers questions regarding to accuracy, assessment, accreditation and/or credentialing
Who is Client Services
Not handled by EviCore and Prior Auth required or submitted
What is NOTDEL
Governs all aspects of our business, and provides guidance on interactions with each other, clients and vendors
What is Company policy or What is Code of Ethics
Apple and Romance Oh Me! Oh My!
Who is Carole
Ensures you have all the information needed to present the appropriate solution/response
What is Probing Questions
Current Procedural Terminology
What is CPT code
Clinical Questions and Answers
What is the Pathway
Pertaining to Health, Life, Financial, Time Away from Work to name a few
What is Benefits Central
Death and Entrée are on this menu
Who is Amber
When you change the pitch or tone of your voice
What is Inflection
Not a HP but will protect if you lose employer sponsored health benefits
What is COBRA
Utilize me when unsure of spelling or listing
What is a "Wildcard" Search
Knowledge Grower
What is myUniversity
A Green Thumb in the Fruit Pie
Who is Tenika