FEC SOP's
You can find introducing FEC services in this SOP.
What is the Family engagement center SOP?
This SOP provides overview and navigation of SENS
What is SENS User Guide?
This program allows you to look up UBH providers.
What is LINX?
In this SOP you can find the correct routing destinations.
Internal_Resources_and_Partners_SOP?
This is where you can view how to navigate in PHMC.
What is the PHMC user guide? (Family engagement Center SOP)
You can find process for receiving letters, forms & documents in this SOP
What is the Family Engagement SOP (Letters forms, Documents section)
This is where we go to update family information.
What is the Family background tile?
This is how you access LINX production
What is CITRIX?
To route to a RA (research advisor) we use this tool.
What is the CA to RA Macro?
PHMC process can be found in this FEC SOP
What is the family engagement SOP? (Digital Communication)
You can find the processes, when and how to engage a Research Advisor in this SOP.
What is the Internal_Resources_and_Partners_SOP?
This is where we can see all open cases for our members on the account.
What is the family case history tile?
The process for balance billing with out of network programs can be found here.
What is Internal Resources and Partners SOP
When sending a message on PHMC we select this mail box.
What is Family Engagement Center Group inbox? (Family engagement center SOP)
You can find the FEC out of scope group/plans in this SOP
What is the Admin_Tech_System_overview_SOP?
This is where you can see all files that exist in SENS
What is the documents history tile?
This SOP provides steps for UBH provider look up & sending provider search results
What is provider referral advocacy? (Provider look up/contract match/behavioral health)
This is where you can find when to engage a nurse advisor
Internal resources and partners SOP
This is where we go to locate the process to register a member on PHMC.
What is Admin and tech system overview SOP,PHMC: Registration)
In this SOP, you can find steps/process for member situations that may require escalation.
What is Urgent_and_Escalated_Job_Aid
This is where we go to find the process to create and update a case in SENS
What is the case page?
Viewing UBH appeal letters can be found here.
Linx (Admin and Tech System Overview SOP)
This step is where you find routing destinations after you use the CA to RA macro for Fraud, waste and abuse (FWA) investigation
What is step 10?
The activation email member receives will say this in the subject.
What is Welcome to Optum messenger email? (Admin and tech system Overview SOP)