Clinical Services
Monitoring Services
• Comprehensive Exams
• Vitals, Lab Tests, Spirometry, Chest X-Ray
• Mental Health Evaluations
• Exposure Assessments (Initial Only)
• Medical Data Documentation
• Request for WTC Certified Conditions
• Member Education on Health Issues
Diagnostic Services
• Cancer Screenings
• Referrals for Diagnostic Testing
• Referrals for Specialty Consult
• Medication Trials for Diagnostic Purposes
Treatment Services
• Outpatient Services
• Emergency Services
• Inpatient Services
• Other Special Services
• Prescription Program
• Durable Medical Equipment
• Nutrition and Other Wellness Programs
Member Services and Case Management
Outreach, Information and Education
• Program Education Materials Development
• Member Program Benefits Education
• Informing Members about Enrollment Process and Enrollment Center Instructions
• Formal stakeholder communication mechanisms establishment and maintenance
Care Coordination and Case Management
• Health and Needs Assessment
• Certification Coordination
• Cancer Screening Coordination
• Cancer Care Management
• Mental Health Care Management
• Inpatient Care Management
• General Medical Care Management
• Referral Management
• Prescription Management
Benefits Assistance
• Annual Benefits Assessment
• Benefits Counseling
• Pharmacy Benefits Assistance
• Workmens Compensation / Similar Benefits Coordination
• Community Services for Non-Certified Conditions Assistance
• Social Services Assistance
• *Medical Appeals Education
Member Retention
• Member Support and Engagement Solutions
• Call Center Assistance
Complementary Wellness Services
Pharmacy Program
• Pharmaceutical education and counseling support
• Comprehensive medication reviews
Nutrition Program
• Comprehensive nutritional education and counseling support
• Nutritional Wellness Workshops