Insurance
True or False: Medicare A & B are In-Network with UCH?
True
Does ENT see for vertigo?
Yes
Patient Verification: What 3 pieces of information do we need?
Name
DOB or MRN
Address, Phone Number, SSN, or Emergency Contact
Patient calls and would like to speak to provider
Triage
Patient calls to refill an existing medication
Patient Line Medication Refill
How far out do you schedule Tricare patients?
7 days
True or False: CLB Pulm can see for Chronic Thromboembolic Pulmonary Hypertension
False, we can schedule but it falls under Pulm Vascular
Under Scheduling: Location and Insurance Verification is built to identify....
Address and Insurance information
Patient calls to see where prescriptions was sent
Triage but do not route
Patient would like provider to take over new medication
Patient Line Routing (12509)
RPV has CICP and would like to schedule, can they do so?
Yes
When scheduling travel visits what is one thing you must document?
Travel Destination
What are the 4 components of Introduction?
Greeting
Location
ID self
Offer Assistance
Radiology calls and needs clarification on an order they have
Triage
Pharmacy calls requesting DEA number
Patient Line Routing 12509
Patient has California Medicaid, what group would this fall under? Can they schedule?
Group 3, no prior approval needed
Patient has a direct referral, how do we schedule?
Do not schedule from referral, schedule as usual. If provider is not in subgroup inform them who can see them. Attach referral or triage patient's request.
What does CLIC stand for?
1.Confirm(Date, Appt Time & Arrival Time; Clinic Name & Location; Provider Name & Title; and Reason for Visit)
2.Late Policy
3.Insurance Card, Picture ID, and Insurance Authorization
4.Copay or check-in
Lab calls and they need labs redrawn
Triage
Patient requests a higher dose on medication
Patient Line Routing 12509
Patient has United Medicare and insurance denied visit, can they be seen as self-pay?
No
Return ID patient would like to talk about monkeypox, how do we schedule?
Monkeypox, will pull a return visit type with provider
Please provide your scheduling scripting
custom
Calling in with Critical Labs
Transfer to RN line
Patient calls to check status on Prior Authorization.
Patient Line Medication PAR