BH Attestation Survey 5
Name: 


  1. I have received update/ discussion regarding:
    1. Second Level Provider Dispute (No New Clinical Information)
    -Updates in CGX (CO-BH CCR Initial Update to Authorization, CGX)
    2. Northwell Facilities (New York) - redirection
    3. Optum IPA grouper claimed Humana is responsible for claims payment
    4. Provider Claims Mismatch
    5. IP Detox on CGX switched to IP Psych in Claims
    6. Stay Approved- No Clinical Discharge Summary, Approved for Additional Days beyond CRM Claims
    7. De-Delegated IPA
    8. QIO (Quality Improvement Organization) note in Claims Payment notes
    9. Dual Eligible Plans -(IL, NV, FL) -redirection
    10. Dual Eligible Plans -(IL, NV, FL)
    11. How to Identify a first level dispute
    Yes
    No


  1. Do you have questions?





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