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Fellbrook eligibility and authorization queue, Oct 1

Fellbrook eligibility and authorization queue, Oct 1

Authorization specialists working through a morning queue in a back office

Authorization queue (internal) Fellbrook Community Credit Union Alderpoint Wellness Group

Owner: Rohan Bhattacharya. Updated Oct 1, 2026.

Queue at a glance

State on Mon, Sep 28, 2026 26 items unresolved 4 had no owner for 5 days Internal

One queue for every eligibility and authorization item on the Fellbrook program referrals, each with a named owner, the evidence it waits on and the appointment it protects, so the 12 items due within seven days and the four that had no owner are worked first. Prepared each morning by the regional intake lead at Alderpoint Wellness Group for the authorization reviewers and the intake team. Of 57 items, 31 are resolved and 26 are not. Issued Thursday, October 1, 2026.

Items in the queue57Fellbrook program referrals
Resolved3126 still open
Due within 7 days12appointments in the next week
Older than 10 days2213 waiting on a plan response

What is still unresolved

The 26 unresolved items fall into six types. Plan means the item waits on a plan response, Document means it waits on a document from the person referred, Owner means it had no owner for more than 5 days, and Soon counts items tied to an appointment within 7 days. Eligibility check and Visit authorization carry the most open items, 6 each, and each has 3 due soon.

The open authorization queue

The Fellbrook queue sits on three cards: items waiting on a plan response, items waiting on a document and items that had no owner. Each card has one owner, a count, how many items are due within 7 days and a due date. Read the card that had no owner first, because nothing on it moves until a person is named.

The cards, with owners and dates

CardStatusOwnerItemsWithin 7 daysDue
Authorization items waiting on a plan responseWaiting on plan responseOdalys Fennimore147Oct 8
Authorization items waiting on a documentWaiting on documentOdalys Fennimore83Oct 8
Authorization items that had no ownerLoggedYolanda Prentiss42Oct 8

The three cards hold 26 of the 57 items, and the same 26 are the unresolved ones: 14, 8 and 4. The other 31 items are resolved.

When the appointment is close

The donut splits the 26 unresolved items by appointment date. Twelve are tied to an appointment within the next 7 days and 14 have a later date or none. The 12 come first, whatever their age.

Ownership rules

Details
One owner per itemEvery item shows one named reviewer. An item with no owner for more than 5 days goes to the director of operations or the regional intake lead, who assigns a named reviewer at the morning review.
Nearest appointment firstItems tied to an appointment within 7 days are worked before older items. 12 items qualify today: 7 waiting on a plan response, 3 on a document and 2 that had no owner.
Plan responsesPlan responses arrive by fax to each location and are filed locally. Until they are collected centrally, the reviewer asks each location for the responses filed since the last request.
DocumentsA request for a document from the person referred is sent again once it is 5 days old. Staff check that the document is present and complete, not what it says.
Who decidesAuthorized staff decide each item and record the evidence and the date beside it. Any plan rule is read and applied by the reviewer, never assumed.
Eligibility fileFiona MacAllister, benefits manager at Fellbrook Community Credit Union, sends the program eligibility file on the first business day of each month: Oct 1, then Nov 2.
Program boundaryAdministration only. Clinical matters stay with the treating professionals.

Four items had no owner for more than 5 days

Four of the 57 Fellbrook items sat in the queue with no named reviewer. All four are older than 10 days, and 2 are tied to appointments within the next 7 days. Yolanda Prentiss assigned each to a named reviewer, and each is now waiting on an answer from a location.Consequence. An item without an owner has no next action, so its appointment date arrives with the question still open. Ask. The reviewers record the location answers and resolve the 2 items tied to appointments by Oct 8.

Working the 12 items due within 7 days

✓Pull the 12 items with an appointment in the next 7 days
✓Assign any item with no owner to a named reviewer
Collect the plan responses filed at each location
Record the answer, the evidence and the date on each item
Resolve the 12 items before the appointments, by Oct 8
This week
✓Assign the four unowned Fellbrook items. Owner: Yolanda Prentiss, done
Collect plan responses from the locations and resolve the items tied to appointments. Owner: Odalys Fennimore, Oct 8
Open the October eligibility file from Fiona MacAllister. Owner: Rohan Bhattacharya, Oct 1

What is resolved

Thirty-one of the 57 items are resolved. That is a little over half, and the 26 left are all in the cards above.

Items resolved

Who is working the queue

OFOdalys FennimoreAuthorization reviewer, Alderpoint Wellness Group, owns the 14 items waiting on a plan response and the 8 waiting on a document
YPYolanda PrentissDirector of operations, Alderpoint Wellness Group, assigned the 4 items that had no owner
RBRohan BhattacharyaRegional intake lead, Alderpoint Wellness Group, prepares the queue each morning and opens the October eligibility file

Demo client portal. Alderpoint Wellness Group, Fellbrook Community Credit Union, the people and every figure are fictional sample data. Built on FuseBase.