Benefits
What tools we need to pull up if the member asks about medical benefit?
Debut/Access Benefit Grid
It is a yellow megaphone sign which we need to deliver to the member
Guidance alert
What is this benefit stage where the member needs to pay 25% coinsurance which also called as Donut Hole
Coverage Gap
A tool that helps the member reset the password online.
CSR Password Reset
Name Humana's incentive program that rewards members for completing eligible health activities like preventive screenings and exams
Go365
What are the three stand alone pdp plan?
Basic
Walmart value rx
Premier
A quick link that helps us send digital card.
Id Card Center
What is the mentor document for claims error?
Actions for Rx Nova Error Codes
This is the process that helps us check the current and previous log in of the member online
Web Emulation
It is an additional allowance that helps member pay for groceries
Healthy Options
What is the most important tool when assisting member? also called as your bestfriend
Mentor
What is the tool that is used to check monthly premium information
Ebilling
It is a template that help us update the information of the member if they have other insurance.
COB Template/ Medicare and Medicaid Other Insurance Form
What is the secure and unsecure site that the member can access?
secure- Myhumana.com
unsecure- Humana.com
It is an additional benefit that has glasses benefits
Vision Additonal Benefit
The purpose of this tool is to locate an in-network provider.
Physician Finder/ Find a doctor
The main tool used for all the concern of the members.
CRM
TRUE or FALSE
Humana is covering medications that are lost, damaged and stolen without any natural disaster.
FALSE
What is it called to the benefits that ONLY tier 2 trained advocate can provide further information?
Humana Spending account card
These are forms considered very important if it's not the member whose calling.
HIPAA Forms
This tool helps us change PCP manually.
Customer Interface/ CI
It is a letter that helps the clinical team verify if the medication is medically necessary.
Coverage Determination/ Pharmacy Authorization
It is the tool to reset the 2-factor authentication.
CSR TFA Reset
TRUE or FALSE
Members can buy humidifier using the healthy options allowance.
TRUE