QNXT
Medicaid changed the format for the id cards in this month
What is May
On what tab is the most recent plan located on
What is the eligibility tab
This number was changed in May due to fraud
What is medicare id #
What type of information must be verified on every call
What is PHI
This cant be used on any notes
What is short hand
What is the name of the sysem that has the member/eligibility/summary tab
What is QNXT
Can access invoice history, current balance and due date
What is A/R Accounts
On this tab you will be able to find the members gender
What is the Summery tab
What information needs to be confirmed when members call in.
What is the physical and mailing address
This type of coverage is additional and includes services not included in medicare part A & B
When doing a name search in QNXT you have to use this format ( be specific)
What is (Last name Comma Space First Name)
Amount of time it takes to receive replacement ID Cards
What is 7-14 business days
True or False: Once changes are made under edit, changes take affect within 24 hrs
What is False
Needs to be offered at the end of every call
What is additional needs, reference #, and survey close
This must also be selected when sending out a replacement ID card
What is resason for replacement
On what step can you change the members language
What is step 3
Can use this to find out the meaning of the letters behind the Contact #
What is LIS Grid
This step within the details tab under Edit will allow you to make changes to the mailing address
What is step 5
When placing a customer on hold what must the member be asked and advised.
What is ask for permission to be put on hold, and advise of the time of the hold.
This should be offered if a member states they are having issues paying for their medications
What is ARC
True or False: I can change the physical address on the edit tab, as long as the member confirms the change has been submitted to medicare.
What is False
Once a ID card order has been placed, system will not allow to resend for this amount of days
What is 7-14 days
What steps are no changes allowed on the edit tab?
What is step 1 and 2
During this period a member disenroll from Cigna Health but can only go to Original Medicare, what are the dates
What is Disenrollment Period Jan 1st-Feb14th
This type of exam can be performed in a members house
What is a 360 exam