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In the illustration above,
the User selects “Physician / Professional Services” as the Benefit
Category. If this is the only subject the caller is asking about, the
CSR would then click next. If there is a different Benefit
Category, use the combo box to change the value shown. If there is an
additional Benefit Category click the green PLUS button in the
Section labeled “Add – Delete Facts” and the CSR will be given a
new combo box to enter the additional Benefit Category. CSRs may repeat
this process until all Benefit Categories, or whatever Fact is
presented, have been entered. Because a Script step may have multiple
possible responses, a Response Combo Box will also be displayed. Before
clicking “Next” the User selects the appropriate response from the list.
ISYL™ also recognizes that it may be possible to have a Fact with
Multiple Values. In those instances, the interface will allow CSRs to
directly associate Facts with each other. For example, this will permit
the CSR to associate the Place of Service of “Clinic” with the Service
Category “Office Visit” and a Place of Service of “Hospital” for the
Service Category “X-Ray” |
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Keywords
and the Interpreter
ISYL™ offers CSRs the
ability to type words into the ISYL™ Viewer Keyword Entry Area. When the
CSR types words and clicks the “Next” button, ISYL™ will attempt to
populate the Facts in the Fact Entry Area based on the words entered. If
ISYL™ does not recognize words in the input due to spelling errors or
lack of applicability, ISYL™ will prompt the CSR with a popup message:
“Please clarify the question”. When the text entered provides a
sufficient number of Facts to derive an answer, ISYL™ will display the
answer after the CSR clicks “Next”. When a CSR types a keyword that
could be associated with more than one Fact or more than one value
within the same Fact, ISYL™ will seek clarification by displaying the
possibilities in the Clarifier area and asking the CSR to select which
value(s) apply. |
