Communication
A phone call with the plan member where you collect information about their condition and function
What is a functional telephone interview?
Characterized by chronic, excessive, unrealistic worry about everyday events and situations that is present on most days for longer than 6 months
What is Anxiety Disorder?
Website used to find occupational class and details?
What is the NOC?
What does MFOA stand for?
What is medical, functional, occupational and analysis and decision?
They work in partnership with the Disability Case Managers in the management of claims towards resolution
Who is the Rehab Consultant?
An email to plan sponsor with an claim update, sent every 6-8 weeks
What is a PSD or PSU?
A mood disorder characterized by the presence of a sad, empty, or irritable mood, with somatic and cognitive changes that negatively affect the individual's capacity to function
What is Major Depressive Disorder?
The system that shows the benefit payment history
What is Chess J?
Contractual, medical, functional, occupational
What are the decision principles?
Medical doctors, medical specialists and psychologists who are consulted to answer questions of a medical nature
What is a Medical Consultant?
Letter allowing us to communicate, request or exchange information with respect to the claim with someone other than the plan member
What is a signed authorization?
The Director, Mental Health Solutions for the Western Region
Who is Carmen Bellows?
The system that houses contracts and booklets for each policy
What is DARC?
A PM is receiving active treatment for an injury, episode or illness, an urgent medical condition, or immediate recovery from surgery
What is acute recovery?
Used to eliminate trial and error approach to medication management
What is Pharmacogenomics?
A question is designed to encourage a full, meaningful answer based on the plan member’s own knowledge and/or feelings
What is an open ended question?
Who is Janelle Bignell?
What is the Senior Consultant, Mental Health?
The system that will show first pay date, last pay date, and the method of payment for the claim.
What is Chess G?
This will serve as alternative plan in the event the initial plan is not successful
What is a contingency plan?
A Canadian company focused on helping Canadians access medical specialist appointments. They coordinate consultations and treatment and can help expedite surgeries.
What is Medical Confidence?
What does TLS stand for?
What is Transport Layer Security?
A natural emotional response to frightening or dangerous experiences that involve actual or threatened serious harm to oneself or others such as car crashes, fires, bombings, torture, or witnessing someone harmed or killed
What is PTSD?
Repository of all the member information in the employee database to confirm eligibility of benefits.
What is Oasis?
Elements of the claim, both positive and/or negative, that may need to be addressed or leveraged in order to manage a claim to resolution
What are influencing factors?
Assessment that identifies alternate occupational opportunities that are suitable based on the plan member’s education, training, work experience, commensurate wage range and functional abilities when the plan member is not able to return to their own occupation
What is a Transferrable Skills Analysis?