Status's
All Things Referrals
PHP
Know Your Crew
Office Lingo
100

Patient lives in a county we do not service. What is the appropriate status and reason?

What is Denied and Out of Service Area?

100

When adding a note to a referral for a provider to review. What is the correct note type?

What is referral triage notes?

100

PHP is an abbreviation for...

What is Partnership Health Plan?

100

Who’s twinning in the parking lot with matching rides?

Who are Roxy and Sydney?

100

Referring to Monday morning meetings. What is the title of these meetings? 

What is The Morning Buzz

200

Two referrals are received for the exact diagnosis from two separate providers. What status and reason do you use to close the referral that is not needed?

What is Canceled and Duplicate?

200

Name the ONLY two acceptable triage decisions that a provider should be using. 

What is Accept and Reject.

200

The correct flag that is to be used when a RAF has been received....

What is PHP Process Complete?

200

Who’s secretly running the Enloe branch of the Swiftie fan club? 

Who is Palie?

200

What is it called when you copy someone on an email?

What is CC-ing?

300

Provider rejects a referral and notates that the patient should follow up with their PCP. What would the status's be?

What is denied and does not meet internal guidelines.

300

How long does a provider have to sign off on an encounter?

What is 72 hours/3 days?

300

What information should be added to an authorization note in the patient's referral?

What are RAF authorization dates, reference to what page the RAF is on in the referral or screenshot of RAF. 

300

Who went from buffing bumpers to processing referrals?

Who is Rachael?

300

What does OON stand for?

What is out of network?

400

Patient has Medicare/PHP, what authorization status should be used?

What is Authorized/Covered Benefit
400

What date should be used when creating a referral?

What is the fax date?

400

PHP member that does not require a RAF

What is a direct member?

400

How many team members have not had a past life in another Enloe Department?

What is two? 

Rachael and Sarah

400

On the Outlook calendar, what color represents scheduled days off?

What is purple?

500

In what event can you use the referral status of "OPEN"?

Never Ever :)

500

How do you get to marking a patient for merge?

What is search "mark patient for merge?"

500

What is the name of the letter used to request a RAF?

What is "LR ENL RFL PHP PCP-RAF LETTER" ?

500

Guess how many snack-sized versions of us exist out there!

Hint: I counted Sydney and Caesar.

What is 19 kids.


500

What does RTE stand for? 

What is real time eligibility.
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