Non member
HIPPA
Address
Virtual visit
Other
100

What must you state after confirming Non member Involvement 

On this call

100

When can we state full name of member

If its probed " Which Ms. Smith are you looking for" "What's the first name"

100

What is a full vs complete address?

Full- W 123 Main Street, London WA 54136

Complete- 123 Main street, WA

100

What key points do we have to cover when scheduling for Virtual visit

In the same state they reside in, On smart phone tablet or computer with front facing camera and internet connection

100
If member has home details posted are we able to read them off to member?

Yes, only the member or POA or AR. If you dont read it off please erase that information and put new information in

200

Are you allow to say PCP information to a non member after HIPPA

YES

200

If non member states " I think so" to non member question is that accepted as a yes?

Yes- Any positive response 
200
Are we able to verify mailing address for HIPPA with non member?

No, you can only verify mailing address for HIPPA with member or POA/AR. Authorized non members MUST provide full physical address 

200

What phone can not be used for virtual visits?

Iphone 6 and under
200

If outbound and you see member lives in ASM area are we able to schedule?

yes you can get language line on call ONLY if you dont see any previous notes about ASM 

300

Can you schedule a virtual visit with non member without consent? 

No, you must have text or email consent on file from member

300

Are we able to ask member if non member has same mailing address?

Yes as long as you fully verified HIPPA and completed non member process

300

Who is allow to change address on members file?

Member/POA/AR

300

What note do we leave about visit for our LHP

Virtual visit-Smartphone/Email

300

When a non member schedules do we let them know about the appointment reminder

Yes, we just let them know member will receive reminder within their preferences 

400

Are you able to change mailing address after confirming HIPPA with non member

No, we can only select yes or no we can not update Unless POA or AR

400

What is the process for inbound

Callers number

First and Last name

Open brand call 

Verify HIPPA if scheduling 

400

If non member provides complete address are we able to read off the physical address

  •  If HIPAA verification is completed by using a complete physical address, scheduling coordinators are required to state the Full Physical Address on file after HIPAA is fully verified.
400

If a member is not eligible for virtual visit, but would like one what is your status on that call

Needs other location

400

If member has a flag for Signify and we don't have visits available what is your next step

Transfer to Signify to assist in scheduling 

500

What information are we able to read back to non member on call script instead of asking for information

Primary Care Doctor

500

Are we able to release date and time of visit for member to Non authorized non member?

No, you must ask non member question state on this call and confirm full HIPPA

500

When scheduling at alternate location what do we need to make sure to do once we enter address in other location field? 

Cass verify and Refresh availability 

500
Member will receive text/email for visit day before the visit? True or False

False member will receive the link before the video chat is ready to start

500

What does " Safety Concern 8am-12pm" On top of calendar mean and require

Its a safety concern for our LHP's in that area. you are ONLY able to schedule that time frame if you don't visit WILL be cancelled 

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