CONTACT LOGS
AUTH IS NOT REQUIRED
WHAT IS CONTACT LOG 10
EXAM IS DENIED.
CARRIERS THAT REQUIRE CLINICALS.
WHAT ARE OUTLINED CARRIERS?
THE DAY WE REMOVE ACCOUNTS FROM THE SCHEDULE TO AVOID LAST MINUTE CANCELLATIONS.
WHAT IS DAY 2?
A CASE IS DENIED ON CARECORE. YOU WILL NEED TO WAIT THIS LONG TO SUBMIT A CASE FOR THE SAME CPT UNDER THE SAME REFERRING DR AND RENDERING FACILITY.
WHAT IS 45 DAYS.
AUTH IS OBTAINED
WHAT IS CONTACT LOG 9
THIRD TIME REQUESTING CLINICALS.
WHAT IS CONTACT LOG 2B?
THE NEXT PORTAL TO CHECK IF A PATIENT WITH AETNA DOES NOT POPULATE ON CARECORE.
WHAT IS MEDSOLUTIONS?
IF YOU CONFIRM A PATIENT NEEDS A CT ABDOMEN AND PELVIS, BUT THE AUTH IS FOR A CT ABDOMEN, THIS MUST BE DONE.
WHAT IS OBTAIN A NEW AUTHORIZATION?
A PATIENT IS SCHEDULED 5 DAYS FROM NOW, AND THE AUTHORIZATION EXPIRES TOMORROW. RESCHEDULING THE PATIENT IS NOT AN OPTION. YOU SHOULD...
NOTATE THE ACCOUNT THAT A NEW AUTH WILL NEED TO BE OBTAINED AFTER IT EXPIRES.
FIRST TIME REQUESTING CLINICALS.
WHAT IS CONTACT LOG 2
WHAT IS CONTACT LOG 5?
IF AN EMPIRE BCBS PLAN DOES NOT POPULATE ON AIM, YOUR NEXT STEP IS...
WHAT IS CALL THE BCBS HOMEPLAN?
YOU SEE AN XRAY IS NEEDED PRIOR TO INITIATING A CASE, BUT YOU SEE NO MENTION IN THE CLINICALS AND NONE IN THE PATIENT'S CHART. YOU SHOULD...
WHAT IS CALL THE REFERRING DOCTOR AND ASK IF THE PATIENT HAD ONE DONE
AN AUTH ON MEDSOLUTIONS EXPIRED LAST WEEK AND THE PATIENT IS SCHEDULED IN A FEW DAYS. THERE IS NO CLINICAL INFORMATION IN THE PATIENT'S ACCOUNT AND YOU CAN'T REACH THE REFERRING MDO. YOU COULD...
CALL MEDSOL AND ASK TO SPEAK TO A NURSE AND START A CASE. TELL THE NURSE YOU WANT TO USE THE SAME INFO FROM THE LAST AUTHORIZATION THAT EXPIRED.
SITE CHANGE NEEDS TO BE PERFORMED.
WHAT IS CONTACT LOG 8?
AUTH IS ON FILE FOR AN MRI BUT MAY NEED A DOWNCODE.
WHAT IS CONTACT LOG 8?
YOU MUST REMOVE THIS WHEN LOOKING UP CLINICAL CASE STATUS ON THE UHC PORTAL FOR OXFORD PLANS.
WHAT IS THE LAST 2 DIGITS OF THE MEMBER ID?
THIS DOCUMENT IS USED AS CLINICALS TO SUBMIT A CASE FOR A CT LUNG CANCER SCREENING.
WHAT IS AN LDCT WORKSHEET?
A CASE IS DENIED ON CARECORE FOR CPT 70553 FOR A DIFFERENT FACILITY. INSTEAD OF WAITING THE REQUIRED AMOUNT OF DAYS TO RESUBMIT, YOU CAN SUBMIT FOR OUR FACILITY WITH A DIFFERENT...
WHAT IS REFERRING DOCTOR
CASE IS DENIED, BUT DOCTOR WANTS THE PATIENT TO REMAIN ON THE SCHEDULE, BC THEY ARE DOING A PEER TO PEER.
CONTACT TYPE 7
YOU INITIATED A CASE, BUT IT NEEDS CLINICALS, SO YOU CONTACT THE MDO TO REQUEST CLINICALS FOR THE FIRST TIME.
WHAT IS CONTACT LOG 2?
YOU MUST FAX THIS IN WITH THE AUTH FORM FOR AETNA BETTER HEALTH TO INITIATE A CASE.
WHAT IS THE CLINICALS.
YOU SEE ON CARECORE THAT ADD'L INFO IS REQUIRED FOR A PENDING CASE. YOUR NEXT STEPS SHOULD BE..
WHAT IS READ THE LETTER SENT TO THE PHYSICIAN AND SEE WHAT IS NEEDED. THEN CONTACT THE MDO TO REQUEST THE INFORMATION.
A CASE IS DENIED ON AIM. YOU WILL NEED TO WAIT THIS LONG TO SUBMIT A CASE FOR THE SAME CPT UNDER THE SAME REFERRING DR AND RENDERING FACILITY.