PBH provides 24-hour, seven-day-a-week telephonic assessment
by experienced clinical services staff. The objectives of
the initial assessment are to:
Identify symptoms
Determine the severity of symptoms
Determine appropriate level of care based on Medical
Necessity
Make timely referral to a PBH participating practitioner
or facility
The PBH clinical assessment is designed to rapidly determine
acuity. The assessment is modified as needed to meet the needs
of specific populations, such as children and adolescents.
Members are assessed by telephone, with additional information
obtained from the Primary Care Physician (PCP), EAP, family
and others as needed.
In most cases, a referral for treatment is given to the member
during the initial telephone contact. Members presenting with
extremely acute symptoms may receive further assessment by
PBH's clinical services staff to determine whether referral
for inpatient care should be considered.
