| |
Accessing Care
The LifeSynch Helpline is a toll-free
call center. LifeSynch responds to members and providers
with live voice response 24 hours a day, 7 days a week,
including holidays, 365 days a year. By providing a
live answer response, without recordings or menu options,
members are assured that service is prompt, personal,
confidential and efficient.
Customer Service Representatives,
(CSR) are the first voices you talk with when you call
the 800 number at LifeSynch. CSRs are ready to assist
with a variety of issues and to perform multiple functions
in a professional and helpful manner. Whether you are
calling to verify benefits and eligibility, get a list
of providers in your area, or check on claims status,
a Customer Service Representative can assist you.
If it is necessary for you to talk
with a licensed clinician, the Customer Service Representative
will transfer your call to a Clinical Care Manager.
This professional will conduct a telephone assessment
and provide you with recommendations regarding treatment
options. Potential services include:
 |
Early intervention to deal with
problem situations
|
|
Information about how you can
access care
|
|
Information about the scope
and limitations of your behavioral health benefits
and your eligibility status
|
|
Assistance in selecting network
providers and the appropriate level of care
|
|
Ongoing Care Management Services
|
 |
Emergency
Situations |
|
If
you or a covered family member are in a
life threatening situation, call 911
or go to the nearest hospital. The hospital
will contact us through the 800 number on
your benefit card, and a licensed professional
LifeSynch staff member will become involved.
In consultation with hospital staff, the
LifeSynch care manager will authorize the
appropriate level of care. Depending on
your benefit plan, it may be necessary for
you to be transferred to a facility that
is a member of LifeSynch's network of provider
facilities.
|
|
|
