Supervisor CIF Discussion

Enter your Supervisor Name and then the CCR information and acknowledgment of covering CIF information with them.

Name


  1. CCR UID/ZID


  1. CCR First Name


  1. CCR Last Name


  1. Location
    Nashville
    Nashville WFH
    Orlando WFH
    Solon
    Solon WFH
    Fort Pierce
    Sunrise
    Yuma
    Henderson
    Houston
    Madison
    Raleigh


  1. I have covered with the CCR on the requirements to use CIFs and how to determine whether or not the Client or CVS handles the Coverage Determination and Grievance.
    Yes
    No