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Siebel Healthcare Guide
What's New in This Release
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Overview of Siebel Healthcare
Siebel Healthcare Functionality
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Getting Started with Siebel Healthcare
Renaming Siebel Account Objects
Configuring Lists of Values
Configuring Summary Views
Adding Products and Product Lines
About Command Center
Command Center Configuration & Administration
Process of Configuring the Command Center Action Form
Defining the Command Center Business Object
Defining the Command Center Actions
Selecting the Command Center Responsibilities
Example of Configuring the Command Center Action Applet
Creating Global Commands for the Command Line Applet
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Companies
About Company Hierarchies
Scenario for Managing Company Information
Administrator Procedures for Companies
Deleting Company Information
Managing Competitor Information
Verifying Coverage Team Members
Managing the Custom-Defined Relationship Types LOV
Generating Company Hierarchies for Data Aggregation
Default Company Hierarchies
Dynamic Company Hierarchies
End-User Procedures for Companies
Adding Companies and Investors
Viewing Company Hierarchies in Roll-Up Views
Creating Company Assessments
Adding Company Applications
Adding Company Service Requests
Managing Company Coverage Teams
Viewing Company Summaries
Viewing Company Relationship Hierarchies
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Contacts
Scenario for Adding a New Contact
Using Contacts
Managing Contact Information
Adding Contacts
Creating Categories for Contact Information
Creating Notes About Contacts
Managing Contact Referral Information
Creating Customer Assessments
Setting the Customer Value Icon
Viewing a Contact Summary
Viewing Contact Relationship Hierarchies
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Households
Scenario for Households in Siebel Financial Services
End-User Procedures for Households
Adding Households
Setting the Household Privacy Option
Associating Contacts with Households
Viewing Household Summaries
Using the Household Relationship Hierarchy
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Call Reports
Scenario for Call Reports
Administrator Procedures for Call Reports
Viewing Call Report Charts
Activating the New Call Report Workflow
Managing Call Report Templates
End-User Procedures for Call Reports
Adding Call Reports
Creating Call Report Distribution Lists
Associating Action Items, Notes, and Attachments with Call Reports
Setting the Call Report Privacy Flag
Emailing and Printing Call Reports
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Facilities
Scenario for Adding a New Healthcare Facility
Administrator Procedures for Facilities
Adding Facilities to the Facility Locator
End-User Procedures for Facilities
Adding Facilities
Associating Providers, Facilities, and Contacts with a Facility
Adding Facility Contracts
Adding Facility Payments
Adding Facility Claims
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Individual Health Policies
Scenario for Health Insurance Quote and Application
Administering Individual Health Policies
Adding Insurance Products and Product Lines
Adding Insurance Rate Bands
End-User Procedures for Individual Health Policies
Providing Individual Health Policy Quotes
Accepting Individual Health Policy Applications
Adding Service Requests to Individual Health Policies
Setting Up Pay Plans for Individual Health Policies
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Group Policies
Scenario for Group Policies
Administering Group Policies
Adding Group Insurance Products and Product Lines
Adding Group Insurance Rate Bands
Defining Activity Plan Templates for Group Policies
Defining Proposal Templates for Group Policies
End-User Procedures for Group Policies
Adding Group Policy Records
Importing Census Information
Adding Census Information in the Group Policies Screen
Adding Employee Classes for Group Policies
Designing Plans for Group Policies
How Enrollment Waiting Periods Affect the Start of Coverage
Reconfiguring Customizable Products in Plan Design
Generating Proposals for Group Policies
Managing Underwriting Information
Adding Eligible Members to Group Policies
Enrolling Members in Group Policies
Adding Beneficiaries to Group Policies
Setting Up Payment Plans for Group Policies
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Members
About Members for Siebel Healthcare
Scenario for Handling Insurance Agent and Member Inquiries
Administrator Procedures for Members
Adding Health Programs
Configuring the Command Center for Common Member Services
End-User Procedures for Members
Editing the Layout of the Members Summary View
Enrolling Members in Health Programs
Example of Using the Command Center for Common Member Services
ID Card Requests
PCP Requests
Claims Inquiries
Changing the Primary Network or IPA for Members
Adding Additional Benefits Coverage for Members
Setting the Member HIPAA Privacy Option
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Partners and Agents
Scenario for Working with Partners and Agents
End-User Procedures for Partners and Agents
Adding New Partners
Adding Agents
Adding Information Associated with an Agent
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Referrals and Authorization
Scenario for Creating and Authorizing a Referral
Administrator Procedures for Referrals and Authorizations
End-User Procedures For Referrals and Authorizations
Creating Referrals or Authorizations
Associating Actions and Providers to Referral or Authorization Requests
Recording Approval Decisions for Referrals or Authorizations
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Providers
Scenario for Adding and Managing a New Provider
End-User Procedures for Providers
Adding Providers
Adding Addresses for the Provider Locator
Associating Facilities with Providers
Associating Specialties with Providers
Adding Profile Information
Adding Provider Contracts
Viewing Provider Payments and Adding Payments Manually
Adding Provider Claims
Viewing and Printing a Provider Report
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Billing Accounts
Scenario for Billing Accounts
End-User Procedures for Billing Accounts
Creating Billing Account Records
Associating Billing Accounts with Other Records
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Integration
Siebel Healthcare Integration Messages
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Siebel Healthcare Reports
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