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Clinical Services - Chapter Table of Contents Published: October, 2001 Assessment and Triage PBH provides 24-hour, seven-day-a-week telephonic assessment by experienced clinical services staff...more   Eligibility Verification PBH's fully automated clinical assessment system includes on-line verification of eligibility...more   How a Member Accesses the PBH Benefit The member calls the toll-free 24-hour PacifiCare Behavioral Health number...more   The Referral Process The PBH clinical services staff member calls the provider to inform him or her of the referral...more   Emergency Services PBH adheres to the following definitions related to emergency services...more   Emergency Situations Requiring Hospitalization PBH should be notified of any admission or impending admission as soon as possible...more   Concurrent Review PBH conducts concurrent review by monitoring services during treatment to ensure that the member's needs are being met by the authorized visits and treatment plan...more   Second Opinion At any time during the course of treatment, the PBH care manager, the member or the provider may solicit a second opinion...more   EAP Services PBH provides a wide variety of Employee Assistance Program (EAP) services to eligible members...more