Assistable Opportunities
During this activity, your provider should check your blood pressure, height and weight and address your physical and emotional well-being.
What is an Annual Wellness Visit?
This is to educate member on 90-day retail pharmacy refills, Home Delivery, and 100 Day Supply.
What is 30-90 day refill?
This opportunity is presented when one or more of the member's accounts does not have an Authorized Representative or Caregiver listed. There may be times where an Authorized Representative is on one of the member's accounts but not all. Be sure to review all accounts and verify/add Authorized Representative as needed
What is Advocate4Me - Authorized Representative or Caregiver Assignment?
This Next Best Action directs advocates to speak to members about activating their UCards and using the benefits and programs available through the UCard program.
What is UCard Next Best Action (NBA)?
Purpose of this is to educate member and offer to contact PCP to schedule mammogram
What is Breast Cancer Screening?
During this visit, a nurse practitioner will do an make in-home clinical visits with members to evaluate their health conditions. These visits are meant to support the care the member receives from their primary care provider
What is a HouseCall?
This is to educate and refer member to complete medication review.
What is Comprehensive Medication Review?
This offer is to have Advocates potentially address concerns as to why the member may be calling back
What is Potential Repeat Caller?
Next Best Action for members who have positive ANOC changes that may result in reduction of copays or costs
What is ANOC Good News?
This is an opportunity to offer diabetic education program to member.
What is Diabetes Support Program - Group Retiree?
This NBA's purpose is educating the member and offering to schedule a kidney function test and a reminder to complete the test.
What is Diabetes care Kidney Disease?
This is to educate existing members on their mail delivery pharmacy and encourage its use.
What is MAPD Plans - Home Delivery?
This opportunity is to educate member and offer to assist with completing their assessment.
What is Health Assessment?
The goal of this opportunity is to see if the member is interested in identifying resources in their community that they may be eligible for. If the member is interested, questions are asked to help identify areas where the member may be struggling to obtain basic needs. Based on the responses, UHC Findhelp will identify and supply resources that the member may be eligible for.
What is Social Determinants of Health (SDoH) Next Best Action?
Opportunity to educate member and offer to schedule A1C blood sugar test
What is Blood Sugar NBA?
The purpose of this NBA is to educate member and attempt to schedule colonoscopy or send iFOBT kit
What is Colorectal Cancer Screening?
This is to assist members with medication refills, review potential barriers against refills and assist members with switching to a 3-month supply and/or Home Delivery if interested
What is Refill Reminder for Cholesterol?
These offers target new members who have registered but haven't signed up for paperless delivery or SMS text consent.
What is New Member Paperless & Text?
This NBA advises the caller/member may be in an area that is or may be impacted by a Natural Disaster (Hurricane, Tornado, Flood, etc.)
What is Severe Weather Notice?
Purpose of this NBA is to educate member about a kidney disease management program and transfer to an enrollment specialist to enroll in the program if interested.
What are Kidney Resource Services?