Brown Eyed-Girl -- Van Morrison
not so much that the patient is getting what they need...(but it is) it's making sure it's explained correctly as well as contractually appropriate with the state, government and how the insurance company operates And that everyone agrees. Perhaps I'm the one who makes sure all the parties agree with the dotting of the i's and crossing of t's. But being non-profit -- as an insurance company.. we tend to go above/beyond what any federal/state agency requires giving very rich extras to members.
Oh..and the explanation part...sometimes the challenge is to re-write a 12th grade reading level document into something a 6th grader could understand...