What are Blue Shields internal procedures for handling members who request continuity of care?
Customer Service, Member Services, Provider Relations and Medical Management have developed workflows to coordinate and provide a smooth transition of responsibility among departments for these requests. Member Services generally receives new enrollee applications for the Continuity of Care Program. Customer Service and Member Services receive calls from members requesting further information about the program, triages member requests to continue treatment with non-network providers, and forwards applications and information received over the phone to Medical Management.
Related Questions
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