Care Coordination & Forms and Letters

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Across
  1. 2. A member needs another copy of their Continuity of Care letter, where should you route the request?
  2. 3. If a member receives a NCD postcard, they should be directed to our ______ for further information.
  3. 4. First HRSN/HSN service that IHN can provide to members.
  4. 5. Third HRSN/HSN service that IHN can provide to members.
  5. 9. We are unable to opt this plan's members out of mailers
  6. 10. Second HRSN/HSN service that IHN can provide to members.
  7. 12. A _____ form is used for member's who believe their medical, pharmacy or EBC related service should be retroactively paid by the health plan after they paid for it out-of-pocket.
  8. 14. A Notice of Adverse Benefit Determination letter will be sent regarding, Claims, Pharmacy and _______ denials.
  9. 16. Tab Missed/Dismissed Letter inquiries must be documented under.
  10. 17. Transfer to this queue line when a member calls regarding completing a Health Risk Assessment.
Down
  1. 1. A tax form detailing a person's health insurance coverage.
  2. 2. Letters sent out quarterly to randomly selected IHN members and a requirement under Fraud, Waste, and Abuse.
  3. 6. The third example of community-based resources for IHN members in Panviva SupportPoint.
  4. 7. Route all certificate of coverage letter requests to this department.
  5. 8. a free program for IHN members that provides nutritional coaching and personalized meal plans.
  6. 11. The task number (spelled out) with a link to the member education opt out form CSRs must fill out for a requesting member.
  7. 13. 3rd item on the list of potential IHN flexible service items.
  8. 15. Abbreviation for the type of Care Coordination required for a member going through the gender reassignment process.