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Transcript of Verification Process
Duplicate & CBA
Ship to Address
Call Backs & Dr's Info
Disposition & Comments
We have to check the disposition for the enrollment and it should be in stage 4 like (FAXED,MAILED DSO TO DR or PT Delivered DSO )
Faxes & OWL
Eligibility & Ins. Info
Press duplicate to check if this PID got duplicates
In case if it is yellow or red we have to check it
In this case we have to change the disposition into
Archive: duplicate but enrolled and leave a comment
DUPLICATE-BUT ENROLLED FOR (equipment)
REFER TO ID (PID)
We have to be sure that the PT’S info is
A Carbon copy of the eligibility report and
In case it is not we have to postpone until the agent fix it
Ship to Address:
If we find a ship to address we have to find
A comment which is (***USE SHIP TO***)
In case we didn’t find it we have to postpone
until we check the address with PT
We have to find all the info as in the Screenshot
In case we find incomplete we have to postpone it
Until it is complete
The call back should be
(PLEASE F/U WITH (Nurse Name) AT DR (Name)’S OFFICE RE (The equipment mentioned in the comment) DSO)
Faxes and OWL:
We have to check the status for the faxes which is mentioned in comment it have to be
(Done) or (PENDING)
In case we find fax status is (FAILED) we have to check the reason and we need to check the Dr’s info
And we need to check if the RIGHT OWL is sent to the PT regarding the equipments mentioned in the comments
Dates & Products
DATES & PRODUCTS:
WE need to check if the products mentioned on the reporting system
be the same for the pipeline and also the dates for faxes
match with the dates on the pipeline
THE Comments MUST be like the template we have for the comments
which is the five comments:
1)Where did the lead originate from?
2)SW PT, PT INT IN ___________
PT HAS NOT RECEIVED THIS PRODUCT THROUGH INS WITHIN 5 YEARS
PT NOT INTERESTED IN _________ (individually list all items)
3)***********SECONDARY INS OF PT************* (WITH ASTERICS)
ALL AVAILABLE INFORMATION FOR SECONDARY
IF THEY DO NOT HAVE SECONDARY INS, PLEASE NOTE NO SECONDARY INS
4)Patient’s emergency contact information (IN CASE OF EMERGENCY, PT WOULD LIKE US TO CONTACT HER HUSBAND JOE
EMERGENCY NUMBER: (555)123-4567)
5)CONDUCTED CONFERENCE, VERIFIED PCP/FAX W (name of receptionist) AT (name of doctor)’S OFFICE.
FAXED DSO(S) FOR (list products) TO DR _____’S OFFICE
New Addition to the reporting system
There has been 3 new additions to the reportig systems which are
1. Pt DOB, claim number, and phone number.
As with the products, dates, pid's, and names in the bubble below this info also needs to be cross referenced and if anything does not match pipeline lead must be postponed.