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ALLIED PHYSICIANS IPA VIDEO SCRIPT FADE IN: TITLE FADES IN: Allied Physicians IPA Logo type TITLE FADES IN: (below) The Picture of Health TITLE FADES IN: Allied Physicians IPA Employee Training TITLES FADE OUT: FADE IN: Still photo of EKG monitor. We HEAR the tones of healthy heart beat. MFX: Musical theme fades in. MONTAGE: Series of still shots cut to the beat of the EKG. Time-lapse of sun rising over downtown. Crowded freeway. Visually graphic scenarios featuring a cross section of ethnic groups as “blue collar” workers in factories. ei. welding, inspecting quantities of single product on a conveyor belt etc. Doctors serving patients intercut with Allied Physicians employees and the facilities. ANNOUNCER (V.O.) People make the world go around. We at Allied Physicians IPA have been apart of keeping the work force, the life blood of a healthy economy moving ahead for almost a decade. To us, a sick day is a bad day for everyone. As a new employee, you are about to become a valuable member of team on a mission. Series of still photos of employees serving members. ANNOUNCER (V.O.) (CONT'D) (continuing) As a key player you’ll be apart of helping us reach our goal -- to deliver the best possible medical care to our members in a timely and efficient way. Series of still shots (different ethnic groups and ages) of members being served in different clinics and hospitals. ANNOUNCER (V.O.) (CONT'D) (continuing) Allied Physicians IPA is in the people business. Our slogan “We understand and we care” grew out of the handson experiences of the caring physicians who founded IPA. (MORE)


2. ANNOUNCER (V.O.) (CONT'D) They looked into their patients eyes and felt their needs. They heard it in their voices -- the same fear and confusion we all feel from time to time but during a time of sickness everything seems larger than life. Our members look to us to help them through these times of need. They look to us to help them make their way though the healthcare system. Hold on a “touching” shot of an elderly female member looking into her doctors eyes. ANNOUNCER (V.O.) (CONT'D) (continuing) We touch people of all races and walks of life giving them the best we have to offer. We’ve developed a time tested way of working. The Allied Physicians IPA system. A system dedicated to serving members needs. Wide shot of page with logos of healthcare providers. Zoom in on one and do a series of lap dissolves through several more of the best known ones. ANNOUNCER (V.O.) (CONT'D) (continuing) We have a history of caring. Over the years we’ve established long term working relationships with over 800 of the finest healthcare providers in the nation. Each and every partnership is built on mutual respect and understanding because our goals are the same. Our patients needs always come first. TITLE FADES IN: Claim Department Animated version of the Claim department work flow chart done in a Web compatible program (ei.Director). Highlight “receipts” box. ANNOUNCER (V.O.) (CONT'D) (continuing) As a new employee, your first contact with a valued member is through their claim form. The NMM’s Claim Department is fully authorized by subscribing health plans to process professional claims in order to make prompt and accurate payments to providers. Still shot of employee sorting mail.


3. ANNOUNCER (V.O.) (CONT'D) (continuing) For this reason, all mail, faxes or other correspondence is always considered a top priority. You must always keep in mind that there is a member in need behind the name on their form. Animated version of the Claim department work flow chart highlighting “date stamp” box. A still shot of an employee stamping a piece of mail with a priority stamp. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll be responsible for prioritizing and stamping the NMM receipt date on each piece received. Animated version of the Claim department work flow chart highlighting “sort” box. A still shot of an employee sorting pieces of mail. ANNOUNCER (V.O.) (CONT'D) (continuing) Next you’ll sort each piece by IPS suite letter. Animated version of the Claim department work flow chart highlighting “batch” box. A still shot of an employee batching pieces of mail. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll batch the claim by type. Capitated, Specialsis, FFS which leads to... Animated version of the Claim department work flow chart highlighting “log into system” box. A still shot of an employee doing data entry. ANNOUNCER (V.O.) (CONT'D) (continuing) ...logging the claim into the system. At this point the member is officially on their way toward receiving the best we have to offer. Animated version of the Claim department work flow chart highlighting “deny, reject and forward”. ANNOUNCER (V.O.) (CONT'D) (continuing) Sometimes problems arise. (MORE)


4. ANNOUNCER (V.O.) (CONT'D) This is where the trouble-shooting part of the process begins. The system may deny a claim due to noneligibility on DOS. A claim can also be rejected if, through no fault of their own, a member forgets and leaves some essential information off their form. CU of an employee’s hand highlighting a missing signature box on the claim form. ANNOUNCER (V.O.) (CONT'D) (continuing) All problems have solutions. A quick catch is considered a save in your skillful hands. An additional information request should be filled at this point. Upon receipt of the missing data an additional investigation of the members eligibility will be conducted to determined whether any further authorization should be sought to discern any further irregularities. The process receives what’s called a ICD-9/CPT coding. At this point the claim is either forwarded as a shared risk or returned because claimant is not a NMM member. Animated version of the Claim department work flow chart highlighting “adjudicate” and “weekly check run” boxes. ANNOUNCER (V.O.) (CONT'D) (continuing) Further problems with a claim may necessitate a legal resolution. The status of all normal and problem claims are recorded during the weekly check run. TITLE FADES IN: Eligibility/Capitation Animated version of the eligibility/capitation flow chart fades in. ANNOUNCER (V.O.) (CONT'D) (continuing) Determining eligibility is a vital step in the claims process. You will help maintain the eligibility status of members that are assigned to the managed IPAs by the electronic and manual reconciliation of a health plan roster. (MORE)


5. ANNOUNCER (V.O.) (CONT'D) All the health plans will provide the data necessary to fill the roster via e-mail or diskettes. Health plan roster on computer screen. ANNOUNCER (V.O.) (CONT'D) (continuing) This is vitally important step in the process as it ensures payments claimed will be rendered by the health plans. Still photo of a smiling doctor. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll also be responsible for issuing capitation payments to all managed IPA's physicians on a monthly basis. An easy to learn eligibility manager software program will help you keep the Allied roster per health plans generated by R&R up-to date and moving forward. Conformation of adjustments, termination’s and additions of members are determined by matching the Allied roster with the Health provider roster. All conformation of adjustments are always approved by our staff. Still photo of a smiling family. ANNOUNCER (V.O.) (CONT'D) (continuing) Next you’ll be responsible to placing members into one of our long list of quality IPA’s. New members will find they are as well received as you will be on first meeting because of our establish, rock-solid working relationships over the years. Pull back to reveal family on computer screen. Name and claim number appear at the bottom of the screen. ANNOUNCER (V.O.) (CONT'D) (continuing) All new members are now officially put into EZ CAP and Sub IPA systems and the existing files are all updated. An EZ CAP master is generated with member’s new assignments to PCP’s, EZ CAP APC’s and all sub IPA’s.


6. Still photo of member taking letters out of curb side mailbox. ANNOUNCER (V.O.) (CONT'D) (continuing) Letters are generated to inform members that they have been enrolled into EZ CAP or that no PCP has been assigned. If adjusted prior to CAP runs CAP is paid for the current run in EZ CAP. Allied capitation checks are generated and reviews and approved by the chief executive officer. Sub IPA checks are reviewed and signed by appropriate officers. Adjusted after cap run cap payments are made on the following cap run. If not adjusted member are assign to A 99999 PCP I.D. Still photo of Allied Physician’s employee working with spread sheet program on computer screen. ANNOUNCER (V.O.) (CONT'D) (continuing) Funds are monitored by the account departments and conformation of account balance is generated. Still photo of Allied Physician’s employee handing a check to superior for signature. ANNOUNCER (V.O.) (CONT'D) (continuing) Sub IPA checks requiring a second signature from the assigned signer of that IPA all are monitored by accounting departments personnel. Capitation checks are released to the PCP’s. Once a member is notified of no current PCP, adjustments are made at the Health Plan pending verification by Allied Retro Capitation. All adjustments are made to EZ Cap and the Cap process continues. Capitation Checks are released to the PCP’s. Sub IPA checks are sent to the sub IPA contact person for the second signature then released to the PCP. TITLE FADES IN:

Credentialing Department.

A still shot of a pile of folders. The American Medical Association logo appears behind it.


7. ANNOUNCER (V.O.) (CONT'D) (continuing) In order to provide the best possible care for our members we maintain the highest possible standards. Any contracted provider and other providers who express interest in joining our team must be screened. A rigorous application and verification process ensues at this point. A perspective provider stands before an Allied Physicians IPA committee. ANNOUNCER (V.O.) (CONT'D) (continuing) The application process requests submission of a Curriculum Vitae(CV) from the individual. They must complete a short questionnaire based upon the submitted CV. Still photo of a Member of the Peer Review Committee on telephone. ANNOUNCER (V.O.) (CONT'D) (continuing) The completed questionnaire and CV are presented to the Peer Review Committee for approval. Upon review and acceptance, the individual will be sent an application if their CV and questionnaire are approved by the Peer Review Committee. Still photo of the Peer Review Committee in session. ANNOUNCER (V.O.) (CONT'D) (continuing) Once an individual or healthcare facility application is received, the department has to review and verify every item included in the application within 180 days. Series of still photos of a Peer Review member visiting a potential healthcare facility. ANNOUNCER (V.O.) (CONT'D) (continuing) After the completion of paper credentialing, a Facility Site Review (FSR) process begins. This is to ensure that the office where the provider practices is up to the standards, as well as meeting the regulatory requirements. (MORE)


8. ANNOUNCER (V.O.) (CONT'D) (continuing) Finally the entire application is presented to the Peer Review Committee for a final review. Still photo of the Peer Review Committee welcoming a new healthcare provider to the team. ANNOUNCER (V.O.) (CONT'D) (continuing) If approved the provider will then be considered crendintialed and allowed to start seeing our member patients. FADE OUT: FADE IN: TITLE FADES IN: Contracting Department Still photo of IPA team members standing next to a map indicating existing team facilities. ANNOUNCER (V.O.) (CONT'D) (continuing) Because of our success, our member roster has grown to a point where we must always consider widening our reach by bringing new members to the Allied Physicians IPA family. Still photo of a IPA team member pointing to a new uncharted area. ANNOUNCER (V.O.) (CONT'D) (continuing) As a member of NMM’s Contracting Department you’ll be responsible for acquiring new contracts with prospective IPA's and medical groups. You be able to use your special people skills to serve as a liaison between IPA's, medical groups, health plans, providers, ancillary providers and hospitals in working out necessary agreements. Still photo of an IPA team member writing names of perspective hospitals and clinics on board. ANNOUNCER (V.O.) (CONT'D) (continuing) Your business sense will also come into play as you’ll be involved in drafting and negotiating out-of(MORE)


9. ANNOUNCER (V.O.) (CONT'D) network provider claims and you’ll create new provider files in EZ CAP after obtaining a Memorandum of Understanding/Contract Agreements. FADE OUT: FADE IN: TITLE FADES IN: Member/Provider Service Department Series of still photos showing concerned members talking to an IPA team member on the phone. ANNOUNCER (V.O.) (CONT'D) (continuing) We understand and we care is the theme that runs throughout the process. Now more than ever is the time to show the member or provider that this is more than just a slogan. When there is a problem you will be responsible to solve it. Knowing that you have other team members plus a network of qualified health providers behind you gives you the confidence to reach out to the member and reassure them that everything will be all right and not to worry. The IPA team member is reassuring the member. ANNOUNCER (V.O.) (CONT'D) (continuing) When the inquiry call comes in, you’ll answer all questions regarding function of managed care, health plan benefit coverage, physician assignment, co-payments, billing, direct referrals or any other concerns the member may have. Elderly member being helped into a van. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll assist members in choosing a physician, making appointments for doctors visit, arranging transportation for senior members to and from physicians offices. Showing you care has its rewards. Elderly patient giving IPA employee a kiss.


10. ANNOUNCER (V.O.) (CONT'D) (continuing) Next you tap into your network resources by forwarding calls from providers and their staff to the appropriate department and personnel at Allied Physicians IPA. Still photo of member appearing upset. ANNOUNCER (V.O.) (CONT'D) (continuing) Complaints are a fact of life. They don’t have to stay that way. Following our theme of caring and understanding you’ll assist members in filing a formal complaint report. Each discussion with the member should be documented so you can chart a speedy resolution and give them the feeling that they are not being ignored. Still photo of upset member smiling again. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll then prepare monthly, quarterly and yearly summary reports to upper management and Quality Management Committee. This aides in the preparation of trending/tracking analysis for implementing quality improvement measures. FADE OUT: FADE IN: TITLE FADES IN: Marketing & Enrollment Department MONTAGE: Map of area. Series of still photos of NMM Marketing & Enrollment teams members visiting different healthcare facilities in neighborhood settings. Team members meeting new people and shaking hands. Team member giving printed brochures to perspective team members. ANNOUNCER (V.O.) (CONT'D) (continuing) As a member of the NMM Marketing team, you’ll help maintain a positive image for the company and promote its products and physicians through a variety of media including: television, radio, newspapers and many other types of periodicals. Team members at community events. Health fairs.


11. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll get to know the people you are serving by meeting them one-onone as an active participant and sponsor to many community events. You’ll be able to keep your hand on the pulse of the community thorough our state of the art proprietary database management system. With the touch of a keyboard, you’ll be able to effectively track inquires and generate leads through referral sources. Still photo of team member reviewing reports and TV storyboards for a new advertising campaign. ANNOUNCER (V.O.) (CONT'D) (continuing) Reports generated from this “Ad Tracking System” allow proper evaluation and analyzation to take place for implementing the most effective advertising campaigns. The main focus of the sales team is on enrollments and member growth. The enrollment representatives are involved with the actual member enrollment process. They interact with customers, providers, health plans, insurance agents and brokers on a regular basis. The team also participates actively in health fairs, flu fairs, and seminars and other community events. SFX: EKG fades in. FADE OUT: FADE IN: MONTAGE: Series of still shots cut to the beat of the EKG. Time-lapse of sun setting behind skyline of downtown. Still time-lapse shot of streaking red from cars on a crowded freeway. MFX: Musical theme fades in. ANNOUNCER (V.O.) (CONT'D) (continuing) We are in the people business. To understand are care about what happens is a special quality shared by all our team members at Allied Physicians IPA.


12. Still shots featuring scenarios of a cross section of ethnic groups as “blue collar” workers at home with their families. ANNOUNCER (V.O.) (CONT'D) (continuing) Our founders over a decade ago knew the answer to caring for people in times of illness takes a special kind of person. We welcome you to our caring family. Still shot of a group of Allied Physicians employees outside the facilities. FADE OUT: FADE IN: TITLE FADES IN: Allied Physicians IPA Logo type TITLE FADES IN: (below) The Picture of Health TITLE FADES IN: New Healthcare Provider Introduction TITLES FADE OUT: FADE IN: EKG monitor. We HEAR the tones of heart beat increasing. Series of shots cut to the beat of the EKG of a baby being born. MFX: Musical theme fades in. Still photo of the new parents as the Doctor puts the newborn in a tearful mother’s arms. Still photo of the baby crying. The Doctor smiles proudly. Still photo of the Allied Physicians IPA facilities. ANNOUNCER (V.O.) (CONT'D) As a new healthcare provider, we want to welcome you to Allied Physicians IPA. You are about to become a valuable member of team on a mission. Series of still photos of employees serving members. ANNOUNCER (V.O.) (CONT'D) (continuing) Our goal is to deliver the best possible medical care to our members and unwavering support to our network of healthcare providers. Series of still shots (different ethnic groups and ages) of members being served in different clinics and hospitals.


13. ANNOUNCER (V.O.) (CONT'D) (continuing) Allied Physicians IPA is in the people business. Our slogan “We understand and we care” grew out of the handson experiences of the caring physicians who founded IPA more than a decade ago. A still photo of a member doctor putting a stethoscope to the heart of an elderly Asian woman. She looks reassured under his care. ANNOUNCER (V.O.) (CONT'D) (continuing) They looked into their patients eyes and felt their needs. They heard it in their voices -- the same fear and confusion we all feel from time to time but they tempered it with an unique understanding that during a time of sickness everything seems larger than life. Our members look to us to help them through these times of need. They look to us to help them make their way though the healthcare system. Our relationships with members and healthcare providers within our vast network are built on trust. Each member counts on our providing the best medical care available to them. Each healthcare provider counts on our unyielding support to make it all happen. As a new member of our team you meet our high standards of quality care and therefore have our trust and support. Hold on a “touching” shot of a Hispanic family looking into their doctors eyes. ANNOUNCER (V.O.) (CONT'D) (continuing) You’ll find our patient members come from all races and walks of life. We’ve developed a time tested way of working over the years we call it The Allied Physicians IPA system. A system dedicated to cutting through unnecessary administrative delays and focusing on serving our members and healthcare providers needs first. Wide shot of page with logos of healthcare providers.


14. Zoom in on one and do a series of lap dissolves through several of the best known ones such as Blue Shield, Aetna, Blue Cross, CIGNA Health Plan, Pacificare etc. ANNOUNCER (V.O.) (CONT'D) (continuing) We have a history of caring You’ll immediately find that you are in good company when you join our team. Over the years we’ve established long term working relationships with over 800 of the finest healthcare providers in the nation. Each and every partnership is built on mutual respect and understanding because our goals are the same. Series of still photos of member hospitals featuring logo. ANNOUNCER (V.O.) (CONT'D) (continuing) Our healthcare network referral program was created to provide you with the opportunity to consult with healthcare providers in your area of specialization or with others in related areas such as cardiology, dermatology, urology, gastroenterology, gynecology, oncology, neurology, OB just to name a few. Referral consolations take an average of 24 hours to arrange. TITLE FADES IN: Claim Department Animated version of the Claim department work flow chart done in a Web compatible program (ei.Director). Highlight “receipts” box. ANNOUNCER (V.O.) (CONT'D) (continuing) As a new heathcare provider, your first contact with us is through the member’s claim form. The NMM’s Claim Department is fully authorized by subscribing health plans to process a professional claims in order to make prompt and accurate payments to you or your organization as a member healthcare provider. Still shot of employee sorting mail. ANNOUNCER (V.O.) (CONT'D) (continuing) For this reason, you can count on all mail, faxes or other correspondence always being considered (MORE)


15. ANNOUNCER (V.O.) (CONT'D) a top priority. We always keep in mind that there is a member in need as well as a healthcare provider behind the names on their form. Animated version of the Claim department work flow chart highlighting “date stamp” box. A still shot of an employee stamping a piece of mail with a priority stamp. ANNOUNCER (V.O.) (CONT'D) (continuing) The first step is prioritizing and stamping the NMM receipt date on each piece received. Animated version of the Claim department work flow chart highlighting “sort” box. A still shot of an employee sorting pieces of mail. ANNOUNCER (V.O.) (CONT'D) (continuing) Next the claim form is sorted IPS suite letter. Animated version of the Claim department work flow chart highlighting “batch” box. A still shot of an employee batching pieces of mail. ANNOUNCER (V.O.) (CONT'D) (continuing) Next the claim is sorted by type. Capitated, Specialsis, FFS which leads to... Animated version of the Claim department work flow chart highlighting “log into system” box. A still shot of an employee doing data entry. ANNOUNCER (V.O.) (CONT'D) (continuing) ...logging the claim into the system. At this point the member is on their way toward receiving the best we have to offer. As one of our team doctors or healthcare facilities you’ll immediately become a part of an established system dedicated to placing our patient members with the best possible physician and healthcare facility available to meet their immediate needs. Animated version of the Claim department work flow chart highlighting “deny, reject and forward”.


16. ANNOUNCER (V.O.) (CONT'D) (continuing) But sometimes problems arise in the process. This is where our troubleshooting experts turn problems into solutions. The system may deny a claim due to non-eligibility on DOS. A claim can also be rejected if information is missing. CU of an employee’s hand highlighting a missing signature box on the claim form. ANNOUNCER (V.O.) (CONT'D) (continuing) An additional information request will be immediately filed and the request mailed out. Upon receipt of the missing data an additional investigation of the members eligibility will be conducted to determined whether any further authorization should be sought to discern any further irregularities. The process receives what’s called a ICD-9/CPT coding. At this point the claim is either forwarded as a shared risk or returned because claimant is not a NMM member. Animated version of the Claim department work flow chart highlighting “adjudicate” and “weekly check run” boxes. ANNOUNCER (V.O.) (CONT'D) (continuing) Further problems with a claim may necessitate a legal resolution. The status of all normal and problem claims are recorded during the weekly check run. To every problem there is a solution and our goal is to get things on track as soon as possible so the members needs can be addressed. TITLE FADES IN: Eligibility/Capitation Animated version of the eligibility/capitation flow chart fades in. ANNOUNCER (V.O.) (CONT'D) (continuing) As you can see, determining eligibility is a vital step in the claims process. Our team members are dedicated to keeping the process moving ahead. (MORE)


17. ANNOUNCER (V.O.) (CONT'D) They help maintain the eligibility status of members that are assigned to the managed IPAs by the electronic and manual reconciliation of a health plan roster. All the health plans will provide the data necessary to fill the roster via e-mail or diskettes. Health plan roster on computer screen. ANNOUNCER (V.O.) (CONT'D) (continuing) This is vitally important step in the process as it ensures payments claimed will be rendered by the health plans. Maintaining healthy relationships between healthcare providers and members is top priority. The greatest effort possible is made to ensure all payments are made in a timely manner. Still photo of a smiling doctor. ANNOUNCER (V.O.) (CONT'D) (continuing) We’re also responsible for issuing capitation payments to all managed IPAs’ physicians on a monthly basis. Each employee is computer literate and fluent on our eligibility manager software program which helps keep the Allied roster per health plans generated by R&R up-to date and moving forward. Conformation of adjustments, termination’s and additions of members are determined by matching the Allied roster with the Health provider roster. All conformation of adjustments are approved by our staff. Still photo of a smiling family. ANNOUNCER (V.O.) (CONT'D) (continuing) Placing members into one of our long list of quality IPA’s is the next important step and the most gratifying. New members will find they are as well received as you will be when you need to consult or visit a hospital facility in our network. (MORE)


18. ANNOUNCER (V.O.) (CONT'D) Rock-solid working relationships built over the years puts you on a solid foundation anywhere you go. Pull back to reveal family on computer screen. Name and claim number appear at the bottom of the screen. ANNOUNCER (V.O.) (CONT'D) (continuing) All new members are now officially put into EZ CAP and Sub IPA systems and the existing files are all updated. An EZ CAP master is generated with member’s new assignments to PCP’s,EZ CAP APC’s and all sub IPA’s. Still photo of a husband and wife reading enrollment form. ANNOUNCER (V.O.) (CONT'D) (continuing) Letters are generated to inform members that they have been enrolled into EZ CAP or that no PCP has been assigned. If adjusted prior to CAP runs, CAP is paid for the current run in EZ CAP. Still photo of Allied Physician IPA team member and their supervisor reviewing checks. ANNOUNCER (V.O.) (CONT'D) (continuing) Allied capitation checks are generated, reviewed and approved by the chief executive officer. Sub IPA checks are reviewed and signed by appropriate officers. Adjusted after cap run cap payments are made on the following cap run. If not adjusted members are assigned to A 99999 PCP I.D. Still photo of a member of the accounting team reviewing a financial page on the computer. ANNOUNCER (V.O.) (CONT'D) (continuing) Funds are monitored by the account departments and conformation of account balance is generated. CU of screen.


19. ANNOUNCER (V.O.) (CONT'D) (continuing) Sub IPA checks requiring a second signature from the assigned signer of that IPA all are monitored by accounting departments personnel. Capitation checks are released to the PCP’s. Still photo of a member reading notification notice. ANNOUNCER (V.O.) (CONT'D) (continuing) Once the member is notified of no current PCP and adjustments are made to the Health Plan pending verification by Allied Retro Capitation, adjustments are made to EZ Cap and the Cap process continues. Capitation Checks are released to the PCP’s. Sub IPA checks are sent to the sub IPA contact person for the second signature then released to the PCP. FADE OUT: TITLE FADES IN: in.

Credentialing Department. AMA logo fades

ANNOUNCER (V.O.) (CONT'D) (continuing) In order to provide the best possible care for our members we maintain the highest possible standards. Series of still photos of the faces of “seasoned” medical staff at work in different departments. ANNOUNCER (V.O.) (CONT'D) (continuing) Rest assured that our “Direct Referral Program” will provide you assistance you can count on. Any contracted provider or permanent providers who express interest in joining our team must be screened in the same way you have been. A rigorous application and verification process ensues at this point. A perspective provider stands before an Allied Physicians IPA committee.


20. ANNOUNCER (V.O.) (CONT'D) (continuing) The application process requests submission of a Curriculum Vitae(CV) from the individual. They must complete a short questionnaire based upon the submitted CV. The completed questionnaire and CV are presented to the Peer Review Committee for approval. Upon review and acceptance, the individual will be sent an application if their CV and questionnaire are approved by the Peer Review Committee. Still photo of a perspective healthcare provider and a Peer Review Committee member talking. ANNOUNCER (V.O.) (CONT'D) (continuing) Once an individual’s or hospitals application is received, the department has to review and verify every item included in the application within 180 days. Series of still photos of a Peer Review member walking toward a potential healthcare facility. ANNOUNCER (V.O.) (CONT'D) (continuing) After the completion of paper credentialing, a Facility Site Review (FSR) process begins. Several shots of internal operations including surgical unit, laboratory, radiology etc. while actual medical procedures are being conducted. ANNOUNCER (V.O.) (CONT'D) (continuing) This is to ensure that the office where the provider practices is up to the standards, as well as meeting the regulatory requirements. Still photo of the Peer Review Committee welcoming a new healthcare provider to the team. ANNOUNCER (V.O.) (CONT'D) (continuing) Finally the entire application is presented to the Peer Review Committee for a final review. (MORE)


21. ANNOUNCER (V.O.) (CONT'D) If approved the provider will then be considered credentialed and allowed to start seeing our member patients. FADE OUT: FADE IN: TITLE FADES IN: Contracting Department FADE IN: Still photo of IPA team members standing next to a map indicating the existing network of IPA team healthcare facilities. ANNOUNCER (V.O.) (CONT'D) (continuing) Because of our success, our member roster has grown to a point where we must always consider widening our reach by bringing new members to the Allied Physicians IPA team. Still photo of a IPA team member pointing to a new uncharted area. ANNOUNCER (V.O.) (CONT'D) (continuing) Our NMM’s Contracting Department is responsible for acquiring new contracts with prospective IPAs and medical groups and serves as a liaison between IPAs, medical groups, health plans, providers, ancillary providers and hospitals in working out necessary agreements. Still photo of an IPA team member writing names of perspective hospitals and clinics on board. ANNOUNCER (V.O.) (CONT'D) (continuing) Our people are responsible for drafting and negotiating out-ofnetwork provider claims and create new provider files in EZ CAP after obtaining a Memorandum of Understanding/Contract Agreement. FADE OUT: TITLE FADES IN: Member/Provider Service Department


22. FADE IN: Series of still photos showing concerned members talking to an IPA team member on the phone. ANNOUNCER (V.O.) (CONT'D) (continuing) We understand and we care is the theme that runs throughout the process. To us, this is more than just a slogan. When there is a problem, our team members are motivated to solve it. Knowing that you are a part of a network of healthcare providers who are in constant communication gives you the confidence to reach out when you need to. The IPA team member is reassuring the member. ANNOUNCER (V.O.) (CONT'D) (continuing) When the inquiry call comes in either from a member or provider regarding function of the managed care, health plan benefit coverage, physician assignment, co-payments, billing, direct referrals or any other concerns they are given top priority. Elderly member being helped into a van. ANNOUNCER (V.O.) (CONT'D) (continuing) We assist members in choosing a physician, making appointments for doctors visit, arranging transportation for senior members to and from physicians offices. All calls from healthcare providers or support staff are immediately forwarded to the appropriate department and personnel at IPA. Caring has its rewards. Still photo of an elderly middle-eastern patient giving an IPA employee a kiss. ANNOUNCER (V.O.) (CONT'D) (continuing) Complaints are a fact of life too, but that doesn’t me they have to stay that way. In fact they are how we learn to improve our services.


23. Still photo of an IPA team member helping an elderly black woman fill out her form. ANNOUNCER (V.O.) (CONT'D) (continuing) Following our theme of caring and understanding our teams will assist members in filing a formal complaint report. Each discussion with the member is documented and charted for a speedy resolution which gives the patient member the feeling that they are not being ignored. Monthly, quarterly and yearly summary reports are prepared and sent to upper management and Quality Management Committee. This aides in the preparation of trending/tracking analysis for implementing quality improvement measures. FADE OUT: TITLE FADES IN: Marketing & Enrollment Department FADE IN: MONTAGE: Map of area. Series of still photos of NMM Marketing & Enrollment teams members visiting different healthcare facilities in neighborhood settings. Team members meeting new people and shaking hands. Team member giving printed brochures to perspective team members. ANNOUNCER (V.O.) (CONT'D) (continuing) Our NMM Marketing team has its hand on the pulse of the community. Team members help maintain a positive image for the company and promote its products and physicians through a variety of media including: television, radio, newspapers and many other types of periodicals. Team members at community events. Health fairs. ANNOUNCER (V.O.) (CONT'D) (continuing) Our people get to know the people we are serving by meeting them one-onone as an active participant and sponsor to many community events. Our state of the art proprietary database management system allows our marketing people the ability to tap into a network which effectively (MORE)


24. ANNOUNCER (V.O.) (CONT'D) tracks inquires and generates leads through referral sources. Still photo of team member reviewing reports and TV storyboards for a new advertising campaign. ANNOUNCER (V.O.) (CONT'D) (continuing) Reports generated from this “Ad Tracking System” allow proper evaluation an analysis to take place for implementing the most effective advertising campaigns. The main focus of the sales team is on enrollments and member growth. The enrollment representatives are involved with the actual member enrollment process. They interact with customers, providers, health plans, insurance agents and brokers on a regular basis. The team also participates actively in health fairs, flu fairs, and seminars and other community events. FADE OUT: FADE IN: SFX: EKG MONTAGE: Series of still shots cut to the beat of the EKG. MONTAGE: Series of still photos of the mother, father and newborn baby from title sequence intercut with doctors and healthcare workers in hospitals working in labs, x-ray, surgical situations. MFX: Musical theme fades in. ANNOUNCER (V.O.) (continuing) We are in the people business. To understand and care about what happens to people is a special quality shared by all our team members at Allied Physicians IPA. Still shots featuring scenarios of a cross section of ethnic groups as “blue collar” workers at home with their families. ANNOUNCER (V.O.) (CONT'D) (continuing) We welcome you as a caring healthcare provider to our growing family.


25. Still shot of a group of Allied Physicians employees outside the facilities. FADE OUT:


Alied Physicians IPA Video Script  

TITLE FADES IN: Allied Physicians IPA Logo type TITLE FADES IN: (below) The Picture of Health TITLE FADES IN: Allied Physicians IPA Employee...

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