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J. UNITED BEHAVIORAL HEALTH — MENTAL HEALTH AND <br /> SUBSTANCE USE DISORDER SERVICES <br /> Service Comments <br /> Behavioral Health Solutions,Full Care Management <br /> • Network access,development and maintenance. <br /> • Ongoing case management. <br /> • Outpatient care management. <br /> • Inpatient care management. <br /> • Outcomes measurement. <br /> • Claims processing,adjudication and member services. <br /> • Account management,reporting and communication <br /> materials. <br /> • Interface with employee assistance program(EAP) <br /> vendors. <br /> K. EMPLOYEE HEALTH EDUCATION AND MEDICAL SELF-CARE <br /> PROGRAM SERVICES <br /> Service Comments <br /> N_urseLinesM-provides 24-hour access to registered nurses. <br /> Care2 —works in conjunction with NurseLine and <br /> Employee Assistance Program(EAP)to provide 24-hour <br /> registered access to clinical,wellness,financial,legal or <br /> counseling resources. _ <br /> HealthAtoZ-providing members with access to online <br /> Health and Wellness content/health assessments/health <br /> coaching,personal health records,and automated messaging. <br /> L. UNITEDHEALTH ALLIES® DISCOUNT PROGRAM <br /> Service Comments <br /> Core UnitedHealth Allies Discount Program enabling i The Core UnitedHealth Allies Discount Program can be made <br /> plan participants to access pre-negotiated savings on certain available to non-covered employees or employees participating <br /> out-of-pocket health care purchases. The discount value in plans not administered by United for an additional fee. <br /> program is not a health insurance plan. <br /> M. MANAGED PHARMACY SERVICES <br /> Service Comments <br /> Integrated Pharmacy Services including: Postage paid return envelopes are not included and are not <br /> • Claims processing available. <br /> • Eligibility management <br /> • Benefits management <br /> • Reporting(available through eServices) <br /> • Retail Pharmacy Network Management. <br /> • Mail Order Services. <br /> • Customer Care Center Services-Toll-free access to <br /> customer care voice response unit(for location of <br /> network pharmacies),and a pharmacist <br /> • Specialty Pharmacy <br /> • Support staff and account management <br /> Standard Clinical programs such as standard notification, <br /> quantity level limits,and quantity per duration. <br /> Additional programs such as dispense as written(DAW) <br /> interventions,retail flags and edits,maximum allowable cost <br /> pricing(retail),and generic and mail order programs. <br /> 21 <br />