Tools
The tool used only to view a member's ID card
What is Clarity?
The tool used to register all calls
What is Compass?
The tool used to look up LIS level or LEP amount.
What is Medisys?
The tool used to look up bills, check and invoices.
What is Transcentra?
The tool used to order Member Requested Materials.
What is Custom Point?
Where you send a hippa form from.
What is Compass?
The tool used to look up EOC's.
The tool used to look up formularies.
What is eShare?
The acronym for Medicare Advantage Prescription Drug Plans
What is MAPD?
If someone claims to have a POA, verify that using this system.
What is CIRS.
MRM stand for.
What is Member Requested materials.
What DLP stands for.
What is desk level procedure?
A hipaa form is valid for this length of time.
What is one year.
CAD is also known as this.
What is eportal emulator?
To see if a provider's check has cleared the bank you would use this tool.
What is check inquiry?
To verify that a hipaa form is still valid you would access this tool.
What is CIRS?
You would access this tool to access the alpha prefix list.
What is Blue Web.
To view which drug phase a member is in you would access this tool.
What is express scripts?
What system is known as ESI or ESD?
What is express scripts?
QRG stands for.
What is Quick Reference Guide.
Claim reviews can be seen in Compass and ________.
What is Pega.
Pega is used primarily to examine ____________.
What are appeals.
WPT500 will allow you to see ________ in transcentra
What are Check Images?
WPT070 will allow you to see ______________ in Transcentra.
What are Premium Invoices?