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Call centers provide both web-based and
telephone connection to healthcare resources tailored to
address the specific needs of each member, client and
provider in your plan. Call centers are mandatory central
communication hubs which connect members to appropriate
healthcare services and providers.
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Member Services
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Physician referral
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PCP Assignment
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Provider Nominations
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Claims inquiries
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Benefit inquiries
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Complaint and Grievances
Provider Services
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Provider Application requests
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Contracting inquiries
- Claims inquiries
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Pre-Authorization triage
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Specialty referrals
Client Services
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Provider Nominations
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Benefit Documents
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General inquiry
Demand Management
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Nurse Triage
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Health Information
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Cleveland Clinic Protocols
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