MC400
Evolent Clients
Systems
TPA Clients
Category Codes
100

What screen do you see eligibility information?

What is Display History?

100

Who are the two evolent clients?

What are Medstar and Premier?

100

Where do you see pharmacy claims for CCHP?

What is ESD?

100

Who handles VA Premier Pharmacy benefits?

What is Envision?

100

What is the category code for premier inquiries?

What is IVM?

200

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

What is the Toolbar?

200

In the EOH, what is the document called to search for benefits based on plan code?

What is the BBD?

200

Where are the benefits for Evolent Clients located?

What is the EOH?

200

What is the name of the only Urgent Care participating with VA premier?

What is Patient First?

200

What is the category code for ID Cards?

What is ELA?

300

Where can you see a member's Tax Credit amount?

What is the HIX screen?

300

There are two types of plans offered to Premier employees, what are they?

What are HRA and HSA plans?

300

What is the main system we use to take payments?

What is ACI?

300

What is the Medicaid Plan that CCHP administers?

What is BadgerCare?

300

What is the category code for benefits?

what is BNA?

400

Where can you see the county a member lives in and update their phone number?

What is the MPrf screen?

400

Who handles Medstar's HRA?

What is Trion?

400

Where do we see previously placed pharmacy authorizations for TPA Clients?

What is PA Hub?

400

What is the Grace Period for members with no APTC?

What is 30 days?

400

What is the category and activity code for updating a PCP?

What is PVB011?

500

What is the abberevation in the HIX screen that shows a member's premium minus the tax credit?

What is TOTRESAMT?

500

Where can we see a member's HRA balance?

What is OAS?

500

Where do you see Prior Authorizations for High-Tech Diagnostic scans for Premier?

What is Evicore?

500

Who handles the appeals for VA Premier?

What is the client?

500

What is the category code for web support questions?

What is WBA?
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