FTE Escalation Queue

Scenarios 3, 5, 6 and 7 routed to staff. Assign or resolve entries as they're worked.

Monthly reporting period: 1 Sept 2026 – 30 Sept 2026 (UTC)

Which call outcomes land here

Calls end in one of seven dispositions. Four of them can't be finished by the caller and create a queue entry for staff; the other three (no answer, wants info, appointment scheduled) are handled on the call itself.

MemberCare gapTypeStateScenarioBarrierCreatedActions
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.OTHER29 Sept 2026
DEMO-FRANK-001#7DEMOGRAPHIC-UPDATE
open
Wrong contactScenario 7: Number belongs to someone else, is disconnected, or the member has moved. Escalated for a demographic update so future outreach isn't wasted; the gap is not counted as a reached attempt.—29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.OTHER29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.OTHER29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.OTHER29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.OTHER29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.TIME29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.TIME29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.TIME29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.FEAR29 Sept 2026
DEMO-HAMZA-001#6VERIFY
open
Already completedScenario 3: Member self-reports the service was already done, but no claim or supplemental record confirms it. Escalated for verification against claims/EMR. The gap only closes once the record is confirmed — self-reported values are flagged in KPI B-series.—29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.FEAR29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
open
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.TIME29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
assigned
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.COST29 Sept 2026
DEMO-HAMZA-001#6BARRIER-CATEGORIZE
assigned
DeclinedScenario 6: Member refuses the service on this call. Escalated so staff can record a barrier code — the reason mix feeds the B4 decline-barrier breakdown.OTHER29 Sept 2026

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