Closure Statues
This status you use when the contact refuses to verify
What is Unwilling; Unwilling Office Refused?
This follow up is used when leaving a VM
What is Phone - Left a Voicemail?
For this term you do not have to send a SOT.
What is a deceased provider or speaking directly to the retired provider?
While on the call you get transferred to another person halfway through the call. We have to restate something.
What is the QA statement?
We confirm the Supervising Specialty on this screen
What is the C screen?
What is Incomplete; Verification Incomplete SOT Pending?
This follow up is for when we sent a SOT
What is SOT - Close Record Reminder?
You need this information to send a SOT
What is First name; last name or initial; phone and email/fax?
The caller says they don't participate in UHC so we have to do this.
What is Attempt to verify the demographics for assigned TINS, and transfer contact to the VETSS line once your call with them is complete?
We must ask this for every name and address change?
What is the effective date?
This status is when the verification initiated (phone outreach) - spreadsheet sent, returned, and required clarification to complete
What is Spreadsheet - Clarification Completed?
We have to call this amount of times on each record.
What is 3 times?
These are the only 2 reasons you'd need to do a Phycon for terms.
What are
We need to research our provider prior to the call to determine if they're a HBP or Hospitalist because of these reasons.
What is because the ANP and age limit questions are different?
This is the only element that we can't use Asked Not Verified
What is age limits?
We use this status for when this happens: Three call attempts made to number affiliated with provider or TIN / Corp / PTI Name, but no verification completed
What is, No Response/No return call/No fax/No email?
What is more than 10 business days?
You have to do this if the SOT comes back with a different term date on it.
What is update your U Form?
While on the call the providers office says they don't have time to finish so we do this.
What is offer to send a spreadsheet or schedule a callback?
This must be asked after every phone number verification.
What is the directory indicator?
We use this status when correcting a defect.
What is Complete; Defect Correction Complete?
A callback is needed and has to be scheduled within this amount of hours
What is within 48 hours?
If a SOT does not get returned, we close out it to a certain status.
What is Complete; SOT unable to be secured?
What is last 4 of TIN and the MPIN?
The office states the doctor works every other Saturday. We update OnBase as such.
What is we leave it blank?