ELIGIBILITY
Federal Health Insurance program, Care for needs of elderly people or people with a specific disabilities.
What is Medicare (CARE)?
Tab used to check member's effective date, term date and Plan.
What is the Eligibility Tab?
I cannot treat a member if I do not take their plan.
What is an Out of Network (ONN) provider?
What is a claim?
I can be located on the hub and SAVE YOU MONEY!
What is the employee discount site?
What is Medicaid (CAID)?
Tab used to provide other insurance info for the member.
What is the COB tab?
I can treat a member if I take their plan. I use this system and tab to verify.
What is an In-Network provider (INN)? What is Facets and Provider tab?
To bring a claim to completion by paying the claim..
What is the HUB, report my time tab?
Provides low-cost health insurance for children who parents might not qualify for Medicaid or TANF.
What is CHIPS?
Tab to check provider's Network Status, Specialty, address/phone number info.
What is the Provider Tab?
This form is used by medical providers, outpatient facilities and labs.
What is the CMS 1500 Claim Form?
Use me to recognize and shout out an amazing co-worker.
What is BRAVO!?
My MS member shows inactive on the State's website, I need you to verify and send it back if you show active.
What is Macess, send back to verify and update?
Section to type notes and save task?
What is New Task Notes and Save Task?
My provider needs to update their information, ie. Office address(es), hours, phone, fax, etc.
What is Demographics?
This code explains what services the member received in an outpatient setting.
What is the CPT, HCPCS code?
What is Helping make the health system work better for everyone?
My VA member is showing inactive in Facets, My provider say she is active.
What is VA Website?
I give you all of the member's coverage info ie, co-pay, co-insurance and breakdown of a certain coverage.
What is Benefit Summary?
Refer members to a specialist, admit patients to the hospital, coordinate the care of patients requiring inpatient care.
What is a PCP?
What is a revenue code?
Integrity, Compassion, Relationships, Innovation and Performance is connected to what at United Health Care?
What are UHC Values?