Direct Care Alliance
Draft for approval

Comment replies, proposed version 1.2

If the comment is about this, use these replies.

Match the comment to a situation, then choose an approved response. Gwen still reviews every comment before it goes live. Anything sensitive comes back to DCA.

Nothing posts automatically.

One clean approval path

How this works

1

Match the situation

Start with what the person is asking or saying.

2

Choose a reply

Use an approved option as written, with only the listed changes.

3

Stop when it is specific

People, prices, organizations, and disputes always return to the right person.

Before you begin

Who is reviewing?

This keeps the approval record clear.

Main decision

If comments are...

Find the closest situation and use one of its approved options. No links, figures, organization names, or new claims can be added.

You can still change any option below.
0 of 12 decisions madeEight routine options, plus four optional comments.

If comments are

asking what DCA does or how it fits

Option C01, how it fits

DCA adds a separate pathway for planned specialty care. The existing benefits structure stays in place.

Stop if they name a plan, carrier, or organization.

Approve this option
Option C04, plain description

DCA creates a direct pathway for planned specialty care between self-funded employers and participating facilities.

Stop if they ask about eligibility, locations, or a named organization.

Approve this option

If comments are

asking how the price works

Option C02, price structure

DCA uses a case rate agreed before care. The participating facility sets one transparent, all-inclusive price for the planned procedure before it begins.

You may use the procedure named in the comment after it is verified.

Approve this option
Option C03, price timing

The case price is agreed before the procedure begins, so the number is known before care.

Stop if they ask for a specific price or quote.

Approve this option

If comments are

asking about savings or patient payment

Option C05, savings

The price is set before care begins. A savings claim requires a documented case, not a general comment.

Stop if they ask for a figure, percentage, comparison, or example.

Approve this option
Option C06, patient payment

Thanks for asking. We need to confirm the specific plan before stating what a patient pays.

Always send the details to Dawn before any follow-up answer.

Approve this option

If comments are

interested or complimentary

Option C07, wants to talk

Thanks for reaching out. We'll connect you with Tim.

You may add the person's name. Always send the contact and source post to Tim.

Approve this option
Option C08, compliments the team

Thank you for saying that. We're proud of the team doing the work.

You may add the person's name. Stop if they name a patient, facility, or outcome.

Approve this option
Optional: approve four comments for other posts

Use these only when the comment directly answers a real point in the post. They are not generic praise.

You can still change any answer below.
O01

Price clarity

Knowing the price before planned care begins gives the employer and its advisor a number they can evaluate before the procedure.

Use for
A post about price clarity in planned care.
Can change
Nothing.
Stop and ask if
The post is about emergency care or quotes an unverified figure.
Approval
O02

Facility payment

Price is only part of the equation for a facility. Timing and certainty of payment matter too.

Use for
A post about facility economics or payment timing.
Can change
Nothing.
Stop and ask if
The post names another organization's payment practices.
Approval
O03

Work beside current benefits

A separate pathway for planned specialty care can sit beside the existing benefits structure. It doesn't require replacing the administrator.

Use for
A post about adding a focused care pathway.
Can change
Nothing.
Stop and ask if
The post asks for a comparison with a named organization.
Approval
O04

Planned specialty care

Planned specialty care creates time to agree on the case price before the procedure begins.

Use for
A post about planned procedures or pre-service decisions.
Can change
Use the procedure named in the post after it is verified.
Stop and ask if
The post concerns emergency or unplanned care.
Approval

The stop rule

These always come back to the team

Stop and ask

These topics always need a fresh answer from the right person.

  • A patient, procedure, or outcome that could identify someone
  • A figure, percentage, dollar amount, or savings comparison
  • A named facility, partner, customer, or competitor
  • A contract, invoice, payment term, or commercial detail
  • A legal, regulatory, legislative, or policy interpretation
  • A hostile comment, accusation, correction, or dispute
  • A request for eligibility, locations, or a specific price
  • Any answer that needs a link, tag, screenshot, or evidence

Decision record

Check your decisions

See what is still open

This preview creates a local summary only. It does not save, submit, message, or publish anything.

VersionProposed 1.2
Approval dateNot set
Routine approverGwen, each use
Review triggerNew claim or DCA voice change

Send your decisions to Gwen

This sends the approval record only. It does not post a comment or change a social account.