Utilization Management

1234567891011121314
Across
  1. 3. this is the injured body part for claim# WC413-E43202
  2. 6. another for CCO
  3. 7. this document shows the RFA decision
  4. 9. refer caller to ____ for after hours escalation for the state of CA
  5. 10. UM is also known as "Utilization _____"
  6. 12. RFA received on 05/17/21 for claim# WC949-E68985 is for what procedure
  7. 14. RFA received on 05/17/21 for claim# WC949-E68985 was reviewed by
Down
  1. 1. RFA received on 05/17/21 for claim# WC949-E72752 is what kind of treatment type
  2. 2. the ordering provider for RFA received on 05/12/21 on claim# WC949-E43034
  3. 4. the um letter for RFA received on 05/17/21 for claim# WC949-E72752 should be found in ____
  4. 5. this state has no end date extension
  5. 6. This caller type can be referred to CCO for more details on non-certification
  6. 8. RFA stands for "____ for authorization"
  7. 11. this state has no peer review
  8. 13. This department handles billing questions