MC400
Abbrevs & Acronyms
Systems
Product
Category Codes
100

What screen do you see eligibility and PCP information?

What is Display History.

100

What does LEP stand for?

What is Late Enrollment Penalty?

100

This is where you check for preventive services due for members

What is MPG Tool --> Gaps in Care?

100

What parts of Medicare does someone have to have to qualify for a Medicare Advantage plan?

What are Parts A&B?

100

What code do we need to use at the end of every Medicare call to summarize?

What is MCR

200

What system do I need to assist me with ordering ID cards?

What is The Toolbar?

200

What is EOC stand for?

What is Evidence of Coverage

200

This is the system we take member payments

What is ACI?

200

What brand of Diabetic Supplies do we cover?

What is LifeScan?

200

What code do we use to file complaints/appeals?

What is GCA?

300
Where can I see the last ID ordered?

What is Second Screen?

300

What does ESRD stand for?

What is End Stage Renal Disease?

300

This is where you can view member invoices

What is Filenet?

300

If someone is being involuntarily terminated due to non payment of premium, they have ONE chance to file a what?

What is a Good Cause Reinstatement?

300

What category and activity code do we use to update a PCP?

What is PVB032?

400

Where can we find the member's LIS level in MC400?

What is Member Additional 2?

400

What does AOR stand for?

What is Appointment of Representative?

400

This is where you can view vision claims

What is AS400?

400

To view a member's EOC, we can search KIP by using what information?

Two different answers are acceptable.

What is PBP or Plan Code?

400

What code do you use after submitted a Coverage Determination?

What is RXF800?

500

When a provider calls, what do you need to ask them for to document the call?

What is their Tax ID?

500

What does IRE stand for?

What is Independent Review Entity?

500

This is where you can change a member's address and order bathroom safety devices

What is Medicare Resource Guide Sharepoint?

500

If a member disagress with their LEP, they can appeal with the IRE. Who is our IRE?

What is Maximus?

500

What code do you use to document that you submitted an Organization Determination?

What is ODG?

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