A Potion for Love
This is the too we used to check the prices of prescription or drug search.
What is Rx Connect Pro?
This provides detailed information on plan benefits, including limitations and exclusions.
What is Verification of Benefits (VOB)
This is often referred to as "robo-calls".
What is Voice Automated Technology (VAT)
This is the tool advocate should use for Rx Claims research and resolve claims issues.
What is Rx Nova Call Connect?
The name of the mobile app members can use to check their benefits 24/7.
What is the MyHumana app?
This is the timeframe when ordering printed materials for member.
What is 7-14 calendar days?
This is an Rx Claim denial code when Humana is the secondary insurance, and we override the error. We also need to send create/case to COB department.
What is 090 Denial Code?
This is what we use to quotes when identifying the member's share of the cost.
What are Copay and Coinsurance?
This is the mentor document to follow if the caller requested to be removed from the call list.
What is the 1"Do Not Call and Complaint Procedures"?
These are the Four (4) Pharmacy Benefits Stages.
What are Deductible, Initial Coverage, Coverage Gap and Catastrophic Stages?
The tool in Debut an advocate can use to provide additional medical benefits resources to help a member.
What is Humana Community Navigator?
This is the tool to use to check the previous letters sent to the member.
What is RTI Communication or EMME?
This is when benefits are split between different stages, which you can see in the deductible message field under the benefits section in Rx Nova Call Connect displays which stages the benefit is split between.
What are Split Stages?
The process we follow when quoting benefits to a member, including checking the plan information, benefit availability, provider network, authorization requirements, and out-of-pocket and deductible information.
What is Verification of Benefits (VOB) Checklist?
This is the tool to use to include the number to do not call list.
What is VAT Do Not Call List?