Jul 06

Did You Know?

by Jess
As a case manager for Sentinel, I frequently get calls asking if a procedure or service requires precertification. Internal programs allow me to quickly pull up the patient and the group’s precertification requirements. For most cases a good rule of thumb is that the following DO NOT require precert.
Just J & B:


Bob is a managed care coordinator who in 1984 started as a compliance analyst for credit and mortgage insurance. Later he shifted to major medical. This staff member has spent countless hours reviewing claims, medical policy and has a lot to say about both.


Jess is a nurse case manager dedicated to patient advocacy after receiving her RN license in 1998. This long time staff member provides her unique perspective based on thousands of conversations held with patients and providers.



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