Note Template with Descriptions
This template must be used across the board to document your interactions.
LIMS
AMD
CARE ( for PTP/PTE only )
Chatter > Post in Salesforce
Regardless of whether there was a call or not
Since this is a standard template, you MUST NOT modify the order or anything else on it.
Case Number(s): {patient’s case ID, include both if combo case} Note Type: {Inbound Call, Outbound Call, Support Ticket} Agent Group: {Escalation; Field Support; Natera Inbound; Panam Inbound; Panam Resolution Team} Spoke with: {Name of Caller/Patient} Relationship to Patient: {Patient; Spouse; Insurance Rep;} Confirmed Authorized Caller: {Yes/No} HIPAA Verified: {Yes/No} Contact Number: {return call number} Phone/Address Verified/Updated: {Yes/No} Email Verified/Updated: {Yes/No} Reason for contact:{Detail reason for why the caller is contacting Natera} Associated Tickets: {List any associated tickets related to the caller’s concern,SF#} Action Taken/Next Steps: {List all action taken + any next steps} Expected Follow-up:{Outline the expected follow-up (this could be with the patient or any team member who would help aide in resolution)} Expected Follow-up Date:{Expected follow-up Date}
You can use this one to copy and paste into a notepad or sticky note Case Number(s): Note Type: Agent Group: Spoke with: Relationship to Patient: Confirmed Authorized Caller: HIPAA Verified: {Yes/No} Contact Number: Phone/Address Verified/Updated: {Yes/No} Email Verified/Updated: {Yes/No} Reason for contact: Associated Tickets: Action Taken/Next Steps: Expected Follow-up: Expected Follow-up Date:
LINKED COMBO CASES
Record essential information:
Patient inquiries
Issues discussed
Resolutions provided
Agreed-upon actions
Ensure notes are:
Clear
Detailed
Concise
Note Template – EXAMPLE #1
Case Number(s): 12345678
Note Type: Inbound Call
Agent Group: Natera Escalations
Spoke with: Jane Doe
Relationship to Patient: Patient
Confirmed Authorized Caller: N/A
HIPAA Verified: Yes
Contact Number: 713.555.1234
Phone/Address Verified/Updated: Verified Phone + Address/No Updates Required
Email Verified/Updated: Verified Email/ No Update Required
Reason for Call: Patient called because clinic promised the patient would only be billed $99.00 for her test. She received a bill for $1500.00.
Associated Tickets: SF#12345678
Action Taken/Next Steps: Reviewed the account + notes and found that the patient was billed for her deductible for $1500 but was never received the PTP offer. Requested approval from K. Bectold for approval for patient to pay $99.00 quoted by the clinic; Manager approved.
Sent patient payment link; patient paid $99.00; ZBAL sent; patient should not receive any additional statements regarding this case.
Expected Follow-up: None
Expected Follow-up Date: NA
Note Template – EXAMPLE #2
***ESCALATED CALL | REPEAT CALLER***
Case Number(s): 12345678
Note Type: Inbound Call
Agent Group: Natera Escalations
Spoke with: James Doe
Relationship to Patient: Husband
Confirmed Authorized Caller: Husband authorized to speak on behalf of the patient
HIPAA Verified: Yes
Contact Number: 713.555.45678
Phone/Address Verified/Updated: Verified Phone + Address / No Update Required
Email Verified/Updated: Verified Email / No Update Required
Reason for Call: Patient and Husband has called multiple times (8/3/24; 8/5/24; 8/7/24; 8/12/24) regarding open balance for date of service 2/15/21. Claim was filed with the insurance company (Blue Cross Blue Sheild) past the filing deadline. Patient expected a follow-up call regarding this issue on 8/7/24 but no one has returned the patient’s call.
Associated Tickets: SF#3698521
Action Taken/Next Steps: Escalated call to manager + added a Patient SOS support ticket (ticket # 4569873); Husband and patient ONLY want to speak with a manager as prior calls have gone unresolved
Expected Follow-up: Immediate follow-up from patient SOS is required by the end of business today.
Expected Follow-up Date: 9/9/24
Launched: 09/17/2024 QA Grace Period: 09/23/2024 to 09/30/2024 Go-Live: 10/01/2024
Last update by: Nina O (Oct 18, 2024)