Present - Past
The member needs to have a prior authorization.(Provider)
The provider said, (that) you needed to have a prior authorization.
You did very well on your last exam.
(ACE trainer to 1st person)
The ACE trainer told me (that) I had done very well on my last exam.
The pharmacy is not authorizing the medication.
(The pharmacy)
The pharmacy (told me) (said) (that) they were not authorizing the medication.
I will need the member to bring his paperwork. (Provider)
The provider said (that) you would need to bring his paperwork.
The member has not paid for the service.
(Provider - First person)
The provider told me (that) you had not paid for the service.
The member has to submit a reimbursement form. (Supervisor)
The supervisor said (that) you had to submit a reimbursement form.
I listened to your call, and you need to work on hold time.
(The OJT - First person)
The OJT told me (that) he had listened to my call, and I needed to work on hold time.
The provider hasn´t been charging the insurance company.
(Supervisor - First person)
The supervisor told me (that) the provider hadn´t been charging the insurance company.
The medication will take 7 - 10 business days to arrive.
(Pharmacist - First person)
The pharmacist told me (that) the medication would take 7 - 10 business days to arrive.
You have chosen the incorrect claim to process.
(Coworker - First person)
My coworker told me (that) I had chosen the incorrect claim to process.
The member doesn´t qualify for this benefit. (The previous advocate)
The previous advocate said (that) you didn´t qualify for this benefit.
You earned an extra break for doing so good this week.
(The supervisor - First person)
The supervisor told me (that) I had earned an extra break for doing so good this week.
The primary care physician was not showing up in network.
(Supervisor - First person)
The supervisor told me (that) the primary care physician had not been showing up in network.
The member´s card is going to arrive in the next 72 hours.
(Supervisor)
The supervisor said (that) your card was going to arrive in the next 72 hours.
The way you have improved your language skills is amazing.
(ACE trainer - First person)
The ACE trainer told me (that) the way I had improved my language skills was amazing.
The member is eligible to get transportation benefits.
(Supervisor)
The supervisor said (that) you were eligible to get transportation benefits.
You didn´t write any notes on the member´s account.
(Juan - First person)
Juan told me (that) I hadn´t written any notes on the member´s account.
The claim is not being charged to the member.
(Provider)
The provider said that the claim was not being charged to you.
The member could go to the social security office to provide the death certificate.
(Nicole - First person)
Nicole told me (that) you could go to the social security office to provide the death certificate.
You haven´t answered my question in regards to the donut hole
(The member (her) - First person)
The member told me (that) I hadn´t answered her question in regards to the donut hole.
Does the member want to know when the refund will apply?
(Provider)
The provider asked, if you wanted to know when the refund will apply?
Were you able to do some extra hours on Saturday?
(Supervisor - First person)
The supervisor asked if I had been able to do some extra hours on Saturday?
Has the member been requesting a new ID card?
(Supervisor)
The supervisor asked if you had been requesting a new ID card.
Could the memebr (he) send the claim?
(Supervisor)
The supervisor asked me if you could send the claim.
Have you ever had a patient that didn´t pay for the services and still got them done?
(Trainer - First person)
The trainer asked me if i had ever had a patient that hadn´t paid for the services and still had got (gotten) them done?