ISET
The source code we select in ISET when searching for a member
What is CS
The names of the benefit tools we use to quote benefits.
What is AVA and IBAGG?
The name of the button we use to automatically document the call
What is autodoc?
The system we search for advocacy's in (not the toolkit)
What is Knowledge Central?
The button on the search screen, we select if the member is calling about themselves.
What is Subject is Originator?
The Originator type when someone is calling who is not on the plan
What is Other?
The amount of eligible expenses the member must pay for covered health services per year before UnitedHealthcare begins paying for benefits.
What is deductible?
Where we go to view benefit information, steps, and processes
Benefits and Coverage Advocacy
The button we push if want to address the trigger at a later time in the call.
What is hold?
The section you can update a member's phone number
What is Communications-contact preferences
The name of the benefit we quote for spinal manipulation
What is Chiropractic services?
Where you would locate the process if a member is being billed more than what is listed on the claim
What is the claim advocacy?
The tab we select to view the member's address
What is the Eligibility tab?
The benefit you would quote if the member is going to a podiatrist
What is physician office visit-specalist
A _______ deductible has either individual or family maximums (depending on the number of people on the policy).
What is non-embedded?
Where you can locate dashboard processes
What is the Proactive Member Advocacy
The name of the "Turkey" Icon in ISET
What is Navigate?
The benefit you would quote if a member needed a wheelchair
What is DME/Durable Medical Equipment?
Used when a specialty exists, but an in-network specialist cannot accommodate the patient's diagnosis
What is a Gap exception?
Where we would find the
QMCSO (Qualified Medical Child Support Order) process
What is the Eligibility?