The role of the medical travel office is to ensure that the Medical Travel Policy is being administered consistently and as intended by the policy. When a clinician makes a recommendation for a non-medical escort, the reason for the escort is written on the form and often accompanied by a letter providing further explanation. I have full confidence in the medical travel office's ability to determine if the reason aligns with the criteria that is listed in the policy. When medical travel staff deny coverage for non-medical escort benefits, there is often a follow-up communication between the clinician and the medical travel staff to confirm the escort decision. There are also an exceptions policy and appeals policy to consider unique circumstances and to ensure the policy is being applied as intended.