We emphasize quality in everything we do. From the use of computerized medical algorithms and comprehensive documentation to the reporting of each call, we guarantee that the highest quality of care is delivered.
Medical Triage
A nurse advice line service that provides access to a broad range of health-related services including medical triage, health information & education, urgent pharmacy re-fills, transportation for treatment, and crisis interventions.
Student Health
After-hours programs for students who need medical attention or advice during non-working hours for the campus student medical center.
Health Risk Assessment/Survey/Screening
Outbound calls by health care professionals to assess and educate patients on potential health risks that are related to lifestyle and family history. The assessment helps health plans identify potential disease management programs for patients who may be at risk for certain medical conditions.
Welcome Calls
An outbound call to a new member/patient of a health plan, pharmacy or patient prescribed a new medication. The health care professional would provide information and support as needed.
Behavioral Crisis Calls
A nurse triage service that provides 24/7 patient support for behavioral health crisis interventions.
Disease Management
Outbound calls by registered nurses to provide education, problem solving and support to keep patient disease state under control.
Treatment Adherence Support
Outbound calls by health care professionals to identify risk for non-adherence to a prescribed treatment regimen. The professional applies consumer-focused interventions to support adherence and to facilitate provider-consumer communication.
17P Program
Outbound calls by registered nurses to provide education, problem solving and support to pregnant women at risk for premature delivery. Program also includes the cost and delivery of compounded injectable drug to patient’s physician.
RxAccess (Generic Drug Program)
A patient assistance program that helps low-income individuals without pharmacy coverage.
Post-Hospital Calls
Outbound calls to patients who have been discharged from inpatient, outpatient or emergency room to follow-up and check on the status of their medical condition.
Answering Service
After-hours support for physician offices.
High-Risk OB Program
Outbound calls by registered nurses to provide education, problem solving and support to pregnant women at risk for a premature or complicated delivery.
Physician Referral Services
Assist with finding a physician.
Disenrollment Survey
Outbound call to a health plan member that has elected to change plans. The survey helps to identify the primary reasons for disenrollment and to identify opportunities for the plan to mitigate this behavior.
Appointment Setting
Inbound calls by members who need to schedule an appointment with their provider and/or clinic.
Member Campaigns
Outbound calls to members of a health plan to verify demographic information, primary care provider, and review benefits.
No See Provider Access
Outbound product information, formulary change calls to prescribers who previously indicated a “No See” status to pharmaceutical representatives.
Redetermination Reminder
Outbound call to a Medicaid recipient to identify existing needs and to provide a reminder that Medicaid eligibility is nearing its expiration. This call serves as a reminder to re-apply for Medicaid and to support any outstanding member needs.
