Systems/Websites
Grid
Facets
CSI
Mystery???
100
what system do we use to change a PCP
what is Facets
100
is a mammogram covered?
What is yes it is covered no prior auth, no referral. 1 every year for women age 40+. 40 and under requires medically necesscity dx. no copay required.
100
what is COB? where do I go to see the information?
What is coordination of benefits when a member has 2 plans. COB tab
100
To view a claim from 11/3/17 where would you go?
What is the Claims tab?
100
what website do we use to login to access the accessories program
what is ghp family?
200
what do we use rightfax for?
what is.. used to send and receive faxes
200
what tab in the benefit grid has the # for a liver transplant or to becoming a living donor? Whats the number?
what is the inpatient tab? what is 1877-821-8613 or what is 570-271-6214.
200
what date do I use if I change/terminate a PCP
what is the day before?
200
where do I go to see other issues
what is issue history?
200
is transportation to psychological rehab or off-site peer counseling covered in MATP?
what is NO?
300
what is CIS?
what is DHS system used to verify members eligibility and check for alternate coverage?
300
if a member needs a standing referral, who do you send it to?
who is Adam Fraley?
300
To view a claim from 11/3/17 where would you go?
what is claims tab (CSI)
300
what 2 tabs prompt you to a caller ID box?
what is the provider and pharmacy tab?
300
what is tower used for?
what is paper claims?
400
where would we go if we need to find out if there's are gym membership discounts?
what is ghp family-thehealthplan.com
400
what is an item that replaces a limb such as a leg?
what is a Prosthetics?
400
how do I pull up a member's account
what is CTRL +O
400
what is a standing referral?
what is a referral that stays (does not expire)?
400
what 3 items are an exception to the DME policy and still requires a prior authorization regardless of the allowable amount?
what is power mobility items and components. what is repairs? what is incontinent supplies (briefs, pads, etc.)
500
what is navinet used for
what is a system used by providers to submit referrals. Also is used to locate information and bulletins. They can also submit PA Auth
500
What is the incentive amount to a member who completes a post-partum visit within 56 days of giving birth?
what is $20
500
what steps do I take to issue a replacement card?
What is the action tab then click id cards
500
where do you go to see if there is a auth for meds? what system and where do I go?
what is CSI RX/medical Drug Auth Review?
500
how many days does a member have to appeal the stopping of a benefit with no interruption?
what is 10 days from the date of the notice?
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