Hartford BH Attestation Survey 10

Name


  1. 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


  1. Do you have other questions?