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applicable spaces on the forms/specimen tamper evident tape, noting POA status. The examiner places
the POA letter with the completed exam paperwork and imaged with it in ECHO.
‰ Applicants under the Direct Supervision of a Medical Provider/Facility – If the agent/agency informs the
CSR that the applicant is in a hospital, long term acute care (LTAC)/nursing home, medical/mental
residential institution, assisted living, or other care site, the examiners is prohibited from entering such
sites to complete exam and specimen collection services. If the applicant is receiving hospice, home
health care or other form of care under the supervision of a physician, the examiner is prohibited from
completing the service. For both of these situations, the branch manager and the EMSI NSC Quality
and Performance Excellence Department (214-689-3660) must be promptly notified.
‰ Examiners are prohibited from collecting urine and blood specimens from applicants who have renal
shunts in their arms, vascular access lines and ports/intravenous lines (IV’s), urine/foley catheters or
other catheters of any kind. In such instances, underwriting should be contacted for further directions
regarding the assignment/arrangement for services regardless of the setting.
‰ If the insurance company has requested a Complete Blood Count (CBC) or CBC with Differential,
consult the customer’s spec sheet for special lab instructions. In many instances, such blood testing
requires collecting a separate specimen to be tested locally to obtain viable results.
CBC’s with
differentials must be collected and promptly forwarded to a local lab for slide preparation and to help
ensure reliable differential results.
Examination Management Services, Inc.
10/2011
Version 10.0
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