I make the final say if Level 1 cannot.
What is Medical Director Review/O status?
Our Interpreter Line
What is CQ Fluency?
My health plan says that they never received a correspondence. I would like for this to be handled accordingly.
What is re-download/re-export request (Janus)?
A caller is inquiring about registration and access for online prior authorizations.
What is Web Support?
A code for an MRI of the lower back without contrast.
What is 72148?
You have a limited amount of time before I become an adverse decision.
What is Unable to Approve/1 status?
CareCore and MedSolutions
What is eviCore?
I tried to initiate a case, but the MD/Site is showing out of network when the health plan told me that it is in network.
What is initiating an eligibility case?
What is Claims?
A code for imaging that covers the area from the skull to the thigh in conjunction with a CT.
What is 78815?
I should rarely be left in this state on a case.
What is N status?
Recognition and gratitude for your hard work and dedication.
What is Standout Programs?
You receive a phone call from an AI representative wanting to build a case, but the rep becomes silent after two attempts to proceed with the call.
What is reading Automated Caller Scripting?
A speech impaired caller would like to provide information regarding a case.
What is TeleRelay?
A code for an MRI of the ankle, knee, or hip with contrast.
What is 73722?
I am an approved case, but I am on the fence about the provider being delegated.
What is F status?
The 4 W's when journaling a case.
What is "Who called", "Where from?", "Why did they call?", and "What did you do for them?"
We both work for the same company, but I cannot have you initiate a case for me.
What is Employee PHI Restricted?
A caller is inquiring about home health.
What is Evi platform (EP)?
A code for a CT scan that can be used for imaging of the eye and ear cavities with and without contrast.
What is 70482?
I am special because I am genetically specific.
What is I status?
A tool that detects keywords and phrases during live calls.
What is Automated Quality Management (AQM)?
I am a member and would like to have a reference for my x-ray procedure.
What is a Horizon Tracking Number?
A case that has been admin denied.
What is calling the HP?
A code for a stress test with a single study.
What is 78451?