Title X
What qualifies a patient for Title X?
No tubal ligation/vasectomy.
Still in reproductive age.
Name the health insurance that will be giving out new subscriber numbers?
Humana
Who are the new private insurances cards being assigned to?
Janet Ramirez
A patient calls requesting a pediatric flu vaccine, how do you schedule this?
You do not schedule. You create an action and assign it to appointment action.
What is our Front Office Mission?
To provide quality customer service
Uninsured patient can not provide proof of income at time of visit, should they be scheduled?
Yes, patient can fill out an affidavit but advise proof of income will be required for a 330 visit.
Name all of the new Sooner Select health plans?
Aetna Better Health
Humana
OK Complete Health
Liberty Dental - Bonus
Dentaquest - Bonus
How do we request an insurance card at time of scheduling?
Email: Insurance@tchc.us
Meyling's patient is requesting an acute morning appt but she only has PM available, Judy has an opening same day at 10 am, can you offer this appointment?
Yes!!!
How many new patients do the pediatric providers see?
Dr. Ramos/Monica C. - 1 per day(if pt has siblings)
Dr. B - 2 per day
Dr. Castor - Mon/Tues/Thurs/Friday 2 NPs
Wednesday 3 NP's
Not including the newborn!
If a patient calls in with complaints of testicular pain and wanting STD testing, should they be scheduled with Title X?
Yes, if no vasectomy.
How many days after April 1st do insured patients have to switch their plan?
90 days
Name all insurance that can be auto checked?
Community Care
BCBS
Humana
UHC
Aetna
Medicaid
Cigna
Patient calls stating they were seen at St. Francis 4/14 and discharged same day with 7 days of antibiotics, symptoms persist and wants to see PCP. What is your next step?
Advise patient they must finish the entire course of antibiotics, they do not need an appt at this time. If symptoms persist after completing the meds then they can call back to schedule.
What is the last day we can accept the 2022 tax returns?
April 15th
Which Title X providers can do LARC?
Kerri Vandiver, Sarah Hart, Isabella Loy, Evelyn Gutierrez, Dr. Long (no IUDs-BONUS)
What is the key word we are looking for on the insurance card that determines whether the insurance is a private insurance or Managed Medicaid?
Sooner Select
Name all the providers that accept Ambetter.
All providers, as long as PCP is assigned to CHC
18 year old patient that has only been seen during teen clinic wanting to schedule a 330 visit. How would you schedule the patient?
If acute reason, they can be scheduled with any provider and advise to arrive 30 min early to fill out NP docs. They can also walk in to RP.
If complex reason must be scheduled under re-establish slot and arrive 30 min early to fill out NP docs.
What is the name of the new Medical Records company?
Verisma
Who does Title X and what days?
Kerri: Tues-Fri
Sarah: Tuesday AM
Isabella: Wednesday AM
Dr. Long: Thursday AM
Evelyn: Thursday PM
Teen Clinic days!!
Name at least one of the excluded populations that are not eligible for a Managed Medicaid plan?
STBS (Soon to be sooners)
BCC (Breast and cervical cancer)
ESI (Employer sponsored insurance)
What insurances must have CHC assigned as PCP?
All HMO plans
21 year old NP is requesting OB care, she has a proof of pregnancy from UC and already has MDC. How do you schedule this patient?
Patient may walk in to Teen Clinic.
OR
Schedule appt with Title X for pregnancy test, or advise to walk in at Rosa Parks.
What provider does teen clinic, and what days/location?
Kerri Vandiver-Tuesday EO
Isabella Loy - Wednesday EO
Dr. Long - Thursday KW
Judy Sanders - Friday KW