SelectSmart.comSelectSmart.com®
Before you decide
Over 20,000 selectors
vgrass01's flowchart create and edit page

▷ ▶ Mediblue Current Process SelectSmart.com free Medical flowcharts and decision trees.
MedicalMediblue Current Process
By vgrass01
Category: Medical. Viewed 556 times. Created August 2013.     Disclaimer.   
    Make your own flowchart
        

Share

RATE THIS
FLOWCHART






Mediblue Current Process used and how it affects appeals and denials

               
 
 
Clinical faxed to Manila, Phillipines
*Faxing Delays *Failed Faxes
 









 
 
Manila establishes case in system and scans initial clinical to acute team
 
 









 
 
Acute team review
 
 









 
Denial for lack of medical necessity
Site of service denial
Approved *Documentation supported medical necessity *On CNS inpatient list
 









 
Additional clinical faxed or called in to acute team
 
 
 









Approved
Upheld
Additional information not considered due to appeal initiation or communication breakdown
 
 









 
Appeal
Appeal