CHARACTERS
A bright yellow, rectangular kitchen-style sponge with holes, big blue eyes, dimples, white shirt, red tie, and a brown square pants. Who is this ?
SPONGEBOB SQUAREPANTS
What mentor is used to check if specialist consultation requires approval?
REFERRAL GUIDANCE TOOL
King of the Jungle
Lion
Main tool we used to access the member's account once authenticated
CRM / Customer Relationship Management
a Famous Oral Tablet for Diabetes
METFORMIN
Features ice cream-shaped brown hair with a swirly cowlick, a large forehead, blue eyes, and a signature red t-shirt with a yellow atom symbol, usually paired with a lab coat. Very genius young men!
JIMMY NEUTRON
Excel file to determine if approval for medical services is required to be considered as medically necessary
PAL LIST or Humana Customer Care Prior Authorization and Notification List
Cockroach of the ocean
SHRIMP
What is the acronym for C.I ?
Customer Interface
a portable hand carry, FDA-approved device that delivers medication directly into your lungs to open narrowed airways or stop inflammation
ASTHMA INHALER / INHALER
Most Iconic Disney Characters, they are known as the foundational face and mascot of Disney.
MICKEY MOUSE and MINNIE MOUSE
is used when the caller is transferred to an account supervisor and the call is escalated. When the caller is expressing frustration, dissatisfaction, requesting a supervisor, asking to escalate an issue
Escalated Call for Member Solutions Team
the most recognizable scavenger animal in the world
VULTURE
If INN provider doesn't show up in FINDCARE, this is what we used to verify the doctors' credentials with Humana
PAAG or Provider at a Glance
is a widely used over-the-counter medication that acts as an analgesic (pain reliever) and antipyretic (fever reducer)
PARACETAMOL
King Triton's royal court composer and advisor , a red jamaican crab; a friend and protector of our beautiful siren princess.
SEBASTIAN (the crab)
This is an outline of how advocates can assist and discuss member questions and concerns based on the call flow ..
MEDICARE MEMBER CALL FLOW
A gentle giant in the Ocean
WHALE SHARK
This is where we check the members plan benefits, premium giveback amount, copays and coinsurance
DEBUT in CRM / DEBUT
a piece of material, fabric, or a medical device used to hold a dressing in place, protect a wound, apply pressure, or support an injured body part.
BANDAGE/ BAND-AID
Who is the sister of PERIWINKLE?
TINKER BELL
a mentor docx that we use for today's season related with election , EOC and ANOC's concerns
AEP CALL FLOW MEDICARE
Who was the Soviet space dog who was one of the first animals in space and the first to orbit the Earth?
LAIKA
This is a 4 Letter tool is what we used in creating or requesting correspondence for our valued members. We sent it via MAIL or EMAIL (if there's an option)
EMME
a petroleum jelly base ointment, that is made of ingredients such as camphor, eucalyptus oil and menthol . a topical analgesic
VAPORUB / VICKS