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Hartford BH Attestation Survey 10
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Name
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I received discussion on the following topics:
1. Weekly Error Trends Discussion for WB 12.23 errors
o Involuntary status
o Medications update: PRN and Routine meds
o The correct dispute level note for when the MD review was completed
o Document available MSE for DOS reviewed
• CGX Status- When claim status is Denied
2. Redirection Scenario- Humana PH
3. Retro/Reconsideration Template for BH MD Review
4. Routing a case to Humana Medical Director
5. Updating Case for MD Determination
6. BH Turnaround Time Details and Updates
Yes
No
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Shearwater Health
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