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Admin Approval
100
aka Bucket, place where cases are distributed to be worked

What is a "queue"

100

Command you would select to see a list of all cases associated with the member

Member Cases & Tasks

100

Number of days you would span an initial

6

100
An outpatient case will not have this section

Admission Section

100

Procedure Group entry for occupational therapy in the member's home

FHOT

200

The Contact Name/Number field is used by MedAdvantage to store this information

FAX and Fax Number of the Requestor

200

The message that will appear in the Member-in-Focus area that indicates the coverage has terminated

Eligibility Data Not Available

200

Clinical Assistants will always enter this into the Type of Care field 

Elective

200

Procedure/Group entry for outpatient therapy speech 

TXST

200

Number of units you will admin approve for FHSN

78

300

Name of field that captures the place the service will be provided

Place of Service field

300

Command or selection you would choose to see the cases associated with a queue

Manage Assignments

300
Service Type entry for inpatient hospital request

Hospital DRG

300

Procedure Group entry for CPT 98940

CHR1

300

Home Health provider name that is the exception for admin approvals

Covenant Home Health

400

Name of action that users will select once all fields have been entered.

Review

400
Suite case color that indicates Case Management

Gold Suite case

400
Provides point-and-click Milliman Guideline that becomes part of the case

CareWeb QI

400

Dates are spanned this amount for DME purchases

3 months or 90 days

400

Name of Template used to document admin approvals in CareAdvance

MA Administrative Approval Form

500

Place or section of the case that contains the discharge date and disposition fields

Admission Section

500

Describe the icon that indicates the Provider is In-network

"i" with green dot

500

When it is all blue - it is safe to move to completed queue

Case Phase

500

Turn-around-type for an ambulance request date of service in past

Retrospective

500

Number of minutes BCBST approves for each home health visit

90 minutes

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