In addition to other info, the ULS and FCI are found here

A 10-digit alphanumeric starting with "A".

Barriers to discharge are documented on this tab.

2.25 or less.

Member Eligibility

This icon allows you to set alerts and send communications.

This auto populates when closing the auth header.

Within the Clinical Summary, nH Predict scores are viewed here.

(Total continued stay reviews completed) ÷ (Sum of all worked days across all CCs)

Physicians-Add New.

Comorbidities should be captured here.

This type of authorization is requested after the member admits to SNF.

Failure to meet InterQual criteria is documented here.

Denied services, discharge to SNF, discharge to Hospice and Left AMA are all examples.

Facility Name Change.

Click this icon to view Care Team history.

When HIB is confirmed for BCBS MI members, this change must be made.

"Spoke to Mary at the Eternal Rest Home. Informed her that we still needed therapy evaluations in order to complete the review" is this type of engagement.

(Number of Auths where first issued NOMNC was sent for MD Review 3+ days prior to Expected DC date) / ((Distinct Count of header Auth IDs with atleast 1 NOMNC issued.)

"Is Something Broken"

Cultural, Linguistic, Hearing and Visual are examples of these.

Direct Portal communication with the provider occurs here.

Medicaid Carrier Information once shared is required to be documented on these DSNP patients.

(Actual LOS/Expected LOS) - 1.

HP Auth ID Needed.