SYMPTOMS
What should you do if a Radnor IM patient calls in with symptoms?
COLD transfer to 108-3210
What types of insurances require CAPITATION?
HMO and Medicaid
What are the SIX offices that make up Mainline?
Bala Cynwd, Media, Radnor IM, Radnor AYA, Wyndmoor & Chestnut Hill
What type of provider is Megan Breslin?
CRNP
What does RAV stand for?
Return Annual Visit
For Mainline offices, what is the NAC line number?
108-3688
If patient's insurance does require CAPITATION and they have not selected a pcp, what information do you give to the patient?
Provider NPI number
What are the FOUR offices that make up Tri-County?
Limerick, West Chester Pike, Havertown & Springfield
Is Dr. Matthew Miller accepting New Patients?
Not Accepting New Patients?
Do we schedule Pre Op Clearance appointments for Media?
No, send the pre op clearance encounter and office will get all necessary information before calling patient to schedule.
For Tri-County offices, what is the symptom call workflow?
Verify patient's chart, send symptom encounter.
Which office DOES accept Health Partners Medicaid?
Radnor
Which office is department code 335?
Chestnut Hill
What office is Dr. Mercedes Timko located at?
Radnor Adolescent and Young Adult
How long must the patient wait before their next Annual?
366+ days from last annual
Can we schedule patients for a possible UTI/STI?
Yes
(except for Radnor IM)
What website would you use to verify IBC Keystone Healthplan East?
PEAR
What is the grace period for Radnor IM?
15 minutes
What THREE providers at Media are accepting new patients?
Dr. Mayeda, CRNP DiMichele, PA Kitaeff
If PCP for Media patient is not available for an Annual, who can you cross schedule with?
CRNP DiMichele or PA Kitaeff
If patient spoke to the nurse yesterday, but now their symptoms have changed/worsened, what is the workflow?
Follow the symptom protocol for that office.
(i.e. connect with nurse again, send an encounter or cold transfer)
Does Wyndmoor and Chestnut Hill accept Keystone First Medicaid?
No, they are Non-Participating.
What is the address for West Chester Pike?
301 West Chester Pike Havertown, PA 19083
If a family member of an existing patient for Dr. Sumner calls in, can you schedule an appointment?
Route an encounter to physician with name of existing patient/family member for permission to add to panel.
Prior to schedule a Lab appointment, what must you check first?
Verify patient has active blood work orders in their chart.
(if there are none, send an encounter to request them to be added)