I
This CI screen is considered "Home-Base"
What is PAPI?
In CI, you enter codes here to move from screen to screen
What is the command line?
Starts 10/15 and ends 12/07..
What is Annual Enrollment Period (AEP)?
January 1 through March 31
What is Open Enrollment Period(OEP)?
This must be done every 90 days for EVERY member.
What is Verify Demographics?
CMS requires Humana to process disenrollment requests within this many days.
What is code 7 days?
MET stands for this term.
What is Medicare Enrollment Tracking?
CMS requires Humana to respond to a disenrollment request within....
What is 10 days?
This process begins when a member changes their mind about enrolling.
What is Cancellation of Enrollment?
This process begins when a member changes their mind about leaving the health plan.
What is Cancellation of Disenrollment/Cancellation of Cancellation?
Besides the member, this person can initiate voluntary disenrollment requests.
What is the POA (Type C,H,or U) -OR- EOE?
OSB stands for this term
What is Optional Supplemental Benefit?
Provide an example of an OSB.
What is Vision/Dental?
An individual may cancel enrollment if they contact us by...
What is the Effective Date?
In CI, this is pressed when you want to update screens.
What is F11?
This is the Guidance Alert Delivery percentage.
What is 65%?
This is the Guidance Alert Adherence percentage.
What is 90%?
This RxStatus mean the prescription is able to be filled.
What is "Refillable"?
The 3 stages of pharmacy benefits.
What is
-Deductible
-Initial Coverage
-Catastrophic
This is known as the Maximum Out-of-Pocket amount (MOOP).
What is $2,100?
This CI screen shows the member's other coverage.
What is PEOC?
This CI code shows Effective Date, Termination Date, Benefit, Class, Plan/Option, Coverage Type, PCP
What is PAPI?
This RxNova code means A claim was already processed.
What is "023: Duplicate Claim"?
This mentor document shows just about every topic for a Medicare call.
What is the Individual Medicare Calls Document Index?
This type of plan can be cancelled/disenrolled any time of year.
What is an OSB?