Medical Certification

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Across
  1. 3. When information is missing on the form
  2. 5. What needs done if the customer exceeds their frequency and duration
  3. 7. Process when a complete from is received late
  4. 8. This must be on file before calling the Health Care Provider for clarification
  5. 10. This opinion is not binding
  6. 11. Number of calendar days to return initial form
  7. 13. This is what Frequency is called in the iAM system
  8. 17. This opinion is binding
  9. 19. Leave that run along with Short Term Disability
Down
  1. 1. Pays for second and third opinions
  2. 2. Information that needs clarified
  3. 3. Subsection D is completed for this type of leave request
  4. 4. Medical form used by Cigna to determine a Serious Health Condition
  5. 6. Person responsible for sending back the form
  6. 9. Subsection B is completed for this type of leave request
  7. 12. Number of calendar days to return incomplete form
  8. 14. When a customer requests to add days to their leave
  9. 15. How often
  10. 16. How long
  11. 18. This trumps hours