MC400
Abbrevs & Acronyms
Systems
Product
Category Codes
100

What screen do we see the members county?

What is MPrf.

100

What does LTSS stand for?

What is Long Term Services and Supports.

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 (Part C)?

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 see pharmacy claims.

What is ESD?

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 complete a Health Assessment Survey (HAS) with the member on the phone.

What is HealthPlanet?

300

To be on CHC ONLY (not eligible for Medicare yet), you must have this.

What is a LTSS?

300

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

What is PVB032?

400

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

What is Member Additional 2?

400

What does HCBS stand for?

What is Home and Community Based Services?

400

This is where you can view previously placed Prescription/Medication authorizations.

What is PA Hub?

400

To view a member's EOC, we can search KIP by using what information from MC400?


What is the 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 CHC member has questions about receiving money from us to assist in leaving a nursing facility, where should we transfer them? 

What is the SCA line?

500

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

What is ODG001?

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