Custom Member View
This will pop up on the right side of your window if there's anything important you need to know.
What is a/the "Reminder"
This is the button you click on the CMV to start a Request
What is New Program/Request.
"Continue Stay - Initial" is what required field?
What is Review Type
These are the 4 abilities that are located at the end of every fax line.
What are:
Create a New Request
Attach request
Assign Fax
Archive Fax
This is the "Request Type" you would select for a Behavioral Health Request.
What is "BH"
Under this dropdown menu you will find the member's LOB, Plan, Group ID, Eligibility dates, and various personal information
What is the "Profile"
When adding providers to a request these are the boxes that need to be selected.
What are: Attending Provider, Servicing Provider and Facility
This is the place to find ER, Direct, Transfer admissions and Observation stays.
What is the Services tab/Quicklist.
If you are creating a request for an MRI, you would use this Healthcare Type and Request type
What are:
Physical Health
and
Outpatient
This is the most common reason a request will be in "Read Only" mode.
What is request is locked by another person/user/intake/clinician.
If a program or request is greyed out it means this.
What is "Closed"
This is the last step you need to make sure you complete prior to clicking on "Save and Exit" in your request?
What is the Service Details/Service Review tabs.
True or False:
When doing the Review for services, you must ensure the number of units for the services match the number of days requested.
What is False
True or False:
After adding the submitting provider (MDO or FAC) you have to only add the other provider and don't have to worry about their role.
What is False.
You need to check both of these look-up options when searching for a provider BEFORE adding them into Aerial.
What are:
NPI Lookup
and
Name Lookup
This is box tells you the Start date, due date, services requested, and shows any tasks, forms or attachments
What is the "Request Details" tab
2 Part question:
Medical Outpatient Facility is found under this required field on this specific tab?
What is Treatment type on the Request Details Page
This is the reason you would change the status reason to: 48 HR EXT- Requested Clinical
What is: (any of these)
No clinical available- Phone
Called and verbally requested clinical/left voicemail- Fax or Provider Portal
You would select this option when processing a request with our fax form.
What is: Fax- AMM Fax form
Open Request, Continue Stay and verifying the Review tab are all steps in what process?
What is Extending an IP request.
By clicking this button you will navigate to a new screen where you can print off information and send to a Secure Email or PHI Approved person as well as see all request details.
What is the "Request Summary" button
These are the last steps in creating your request.
What are:
Add new item, Add questionnaire and Edit and Complete the assessment task.
This is the one extra step that Inpatient has compared to Outpatient.
What is adding the Intake Clinical Requested -48hr extension note.
After creating your requests this is the status and status reason that the request falls under.
What are:
Pend
and
Admin Review Required
This is the tab/section in your request you should check first if your request did NOT route.
What is the "Service Review" and/or "Review Tab"