Navigation
Member Overview
Care Management
Utilization Management
Global Tools
100
One Source for CM, UM and DM Cases.
What is a key attribute of Clinical CareAdvance.
100
Method of looking up members by name, date of birth, subscriber ID and SSN, among other identifiers
What is the Member Search?
100
The two types of care management cases
What are disease and case management?
100
The first step of the Utilization Management process
What is Intake?
100
Is an icon to tell a user which external claims system a member is located in.
What is the E icon?
200
User Type
What configuration does user security affect?
200
One stop location to view member information
What is the Member Dashboard?
200
This type of case includes chronic conditions such as diabetes and COPD.
What is disease management?
200
The type of review that is unique to inpatient UM cases
What is concurrent review?
200
Consists of the treating providers, condition, medication, vaccination , allergy and procedure lists.
What is Member Clinical Lists?
300
Indicates which tasks a user performs in CCA
What is User Role?
300
The associated form of this member consists of new family members such as spouses and children.
What is temporary members?
300
The final step in the 6 step care management workflow.
What is Evaluation?
300
The process of identifying who the caller is to ensure HIPPA compliance during member or provider communication
What is authentication?
300
Tab that can help to identify drug interactions
What is Medications List?
400
The bar that has top of screen information and navigation options
What is the CCA Top Ribbon
400
This is a distribution list that holds work that can be members, cases or tasks.
What is a queue?
400
Individual pieces of information about a member.
What is a concept?
400
A partial approval and denial of a UM case
What is a split decision?
400
Source for credible medical information to members and users located in the left navigation pane, and in member clinical lists.
What is Healthwise KnowledgeBase?
500
Preferred tab to navigate to when users are working primarily in queues.
What is Manage Assignments?
500
The 3 types of queues
What are triage, standard and system.
500
Free text fields or templates that document information about the case and become part of the audit trail.
What is a progress note?
500
This final UM step must be completed before closing the case.
What is Notification?
500
Tools to help members that include a cigarettes smoked, floors climbed, hours of sleep and resting heart rate trackers.
What are Wellness Tools?
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