BENEFIT INFO-MEDICAL
BENEFIT GUIDELINES
WHAT IS NAME, DATE OF BIRTH, ADDRESS
This person helps make interior spaces functional, safe, and beautiful for almost every type of building
Interior designer
MEMBER IS SHOWING INACTIVE IN IAD, AND ARA CONFIRMS MEMBER IS INELIGIBLE
REFER TO CAO
HANDLING MEMBER/PARTICIPANT/ENROLLEE AND PROVIDR CLAIM STATUS
CLAIM STATUS
ALT-PAYEE
This person helps students learn how to create poetry, fiction, and nonfiction
Writing teacher
COLUM TO LOOK FOR ELIGIBILITY OR TERMINATION DATE ON STATE SYSTEM
PHYSICAL HEALTH
PCP ASSIGNMENT/CHANGE GUIDELINES
PCP CHANGE
CHECK FORMS FOR ANY RESTRICTIONS ON DISCLOSING INFORMATION, DO NOT RELEASE PHI, IF THERE IS NO DOCUMENTED AUTHORITY, ASK MEMBER TO VERBALLY GIVE PERMISSION TO SHARE PHI WITH CALLER. TO REVIEW WHAT INFORMATION CAN BE RELEASED PLEASE REVIEW PHI IDENTIFIABLE DATE ELEMENTS
HIPPA THIRD PARTY
This person uses an instrument, such as a violin or trombone, or sings to perform for an audience
Musician
POST AUTHORIZATION AND MANAGED CARE
WHAT ARE THE SCREEN AND GROUP NAME TO SEARCH FOR ELIGIBILITY
VERIFY THE IDENTITY AND AUTHORITY OF A CONTRACTOR BEFORE DISCLOSING PHI
UNABLE TO VALIDATE CONTRACTOR
LET ME CONFIRM WHAT WE DISCUSSED TODAY, IS THERE ANYTHING ELSE I CAN ASSIST YOU WITH. ARE YOU SATISFIED WITH THE RESPONSE YOU RECEIVED. THANK YOU FOR CALLING AMERIHEALTH (BRAND)
CLOSING ONE
This person creates plans to build homes and other buildings
Architect
CASE NON-FINANCIAL AND ELIGIBILITY HISTORY
ALT PAYEE SCREEN NAME AND GROUP NAME
RROT SPECIAL NEEDS TRIGGER QUESTIONS
CASE MANAGEMENT
FOR TREATMENT OF THE MEMBER, FOR PAYMENT TO A PROVIDER, FOR HEALTHCARE OPERATIONS.
This person helps to create realistic drawings in medical books and journals
Medical illustrator
This person tries to get people to vote for him/her so that he/she can manage the country
Politician/President