Black Pink
This tool allows the member to safely add or edit credit card numbers in their own account through IVR.
What is Secure Pay
Payment method which contains preprinted payment stubs that include the coverage period, due date and the total premium due.
What is Coupon Book
A unique type of demographic that only SSA office can make this change.
What is Date of Death
A set dollar amount that Medicare members are responsible for paying in exchange for insurance protection.
What is premium
It can take up to ________ days for members to see an increase or decrease in their Social Security check when switching payment method to SSA Deduction.
What is 120
Your role is to support members who choose an Individual Medicare Advantage plan through Humana. How many parts does Original Medicare covers
What is 2 parts (Medicare Parts A & B)
It is a tool that allows you to view an electronic copy of a member's ID card.
What is ID Card Center
An internal search engine and repository for all call handling procedures.
What is Mentor
Humana's 4 guiding principles to ensure perfect experience for our members.
What is Know Me, Show Me You Care, Make it Easy and Help Me
This page/app consists of links of different systems/tools a Humana advocate use, and can be found on top of the HI! (Humana Intranet) page.
What is HSS (Humana Self-Service)
A type of authorization that allows a member to be referred to a specialist.
What is Referral
First element in authenticating a caller.
What is Member's Identification Number
It is a tool used while working in CRM to help document case notes and comments quickly.
What is QuickStart+
Specific attributes that identify a member's identity.
What is Demographics
A doctor specializing in family practice or general internal medicine who coordinates and manages a patient's overall medical care.
What is Primary Care Physician (PCP)
The online system used to process one-time payments.
What is e-billing system
The amount of money the insurance company agrees to pay to a healthcare provider for specific healthcare services a member receives when they visit the doctor or hospital.
What is benefits
A monthly, personal health finance and benefits statement that includes a member's medical and/ or prescription drug claim information.
What is Smart Summary
This website/unsecure site we offer and promote to members to utilize self-service.
What is Humana.com
Used to order paper copies of benefit information such as handbooks and welcome kits.
What is OMS - Order Management System
Call Flow which consists of 8 steps to make sure that a member will not be a repeat caller.
What is First Call Resolution
Member permission can be communicated in 3 ways.
What is Consent Form, Power of Attorney or Excutor of Estate designation or Verbal Consent
Humana issues bills around 20th of each month. Premiums are due on the __________________.
What is 1st of the month
A cost saving measure that prevents members covered under multiple insurance plans from receiving duplicate benefits.
What is Coordination of Benefits (COB)