Prior Auth

Pending OUTBOUND CALL

• Merge

• Continue

• DO NOT merge

• None of the above

Received chart notes ONLY with Name and DOB

• Cancel as DNF

• Cancel as Misroute

• CANCEL as NEITP

• Cancel as MNF

Who do we call for status of appeal?

Trial CLAIM PASS with a transitional benefit view of PANCT. No other rejections or reject message. What are we going to do?

Member is no longer a patient of our office