Name That Data Element
What accessibility standard is also known in some states as Handicap Access?
What is ADA Accessibility?
This data element helps confirm communication accessibility for patients.
What is Language?
This is the first data element that must be verified during an HCO call.
What is TIN (Tax Identification Number)?
This data element is frequently missed because agents assume it from web research and forget to verify according to the process.
What is Board Certification?
Prior to making an outbound call, what should the agent do to verify the board certification.
What is the websearch result?
This data element may include Legal Name or DBA Name and should be verified carefully.
What is Group Name?
This data element identifies the products a provider accepts, such as Surefit or Local Plus.
What are Network Plan Types?
This element determines whether a provider is accepting new patients.
What is Panel Status?
Asking about the provider instead of the caregiver in a telehealth question can result in a markdown for this data element.
What is Virtual Care / Caregiver?
The date that indicates when a certification first became valid.
What is the effective date?
This data element must be associated with a TIN.
What is Servicing Address?
The degree commonly verified as MD or DO.
What is the doctor's Medical Degree?
An office confirms the organization name, but the agent forgets to verify the 10-digit provider identifier.
What is NPI?
The practice states they have Spanish-speaking providers, but the information is not confirmed or updated.
What is Language?
This acronym stands for Maintenance of Certification.
What is MOC?
Members often use this information to find providers with specific expertise.
What is Specialty?
Healthcare delivered remotely through technology.
What is Virtual Care?
TJC, HFAP, and DNV are examples of this data element.
What is Facility Accreditation Status?
The office confirms the provider offers virtual visits through video and phone appointments. The agent verifies telehealth availability but forgets to verify the available methods. Which HCP Data Element is incomplete?
What is Telehealth Modalities?
When MOC is "No," agents often need to verify this date.
What is the expiration date?
Verifying the operating hours.
What is the office hours of the location?
This is a California Address Confidentiality Program, administered by the California Secretary of State.
What is SAH?
Healthcare facility or organization that serves predominantly low-income, medically underserved populations.
What is ECP Essential Community Provider?
The agent verified every data element except the one that confirms the provider's identity.
What is Practitioner Name?
Before asking about expiration or MOC, agents should first verify this.
What is whether the provider is board certified?