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Hartford BH Attestation Survey 02
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Have you read and understood the cascaded reminders
1. Handling Duplicates
2. Sample Template for Redirection for Member or Provider Appeals
3. Medications Update on MRIoA Template-
4. Classification and Intent/Transfer Instructions- Provider CRU/Corr
5. IPA Delegation- CRM Alert
6. CGX New Case Build Alert- Member Info
7. Outpatient OOS
8. Authentication Rules
9. All queries should be routed to Onshore Trainer (Roxanne Tienor) for single source of information/calibration with process update.
10. Substance Use Disorder- Humana Coverage Policy-
11. No Discharge Date in Clinicals- present in CRM Claims DOS (end date)
12. Second Level PD- Additional Group Therapy Notes
13. Multiple Claims in one CGX auth
14. Updating ROD Line for Second Level PD (No New Clinical Records)
Yes
No
Do you have any questions or clarifications of the topics listed above?
Shearwater Health
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