Name That Mentor
What Mentor should always be open besides the Custom Connect Call flow?
Group Medicare Calls Document Index
What benefit does Oxygen fall under?
DME
What is the FAQ called that can be used for any and all Group members?
Group Medicare General FAQ
What is another name for Drug Guide?
Formulary
Which Mentor is used for Demographic Changes?
Group Medicare Demographic Changes
What benefit should be quoted when a member is getting a MRI?
Advanced Radiology
What tab shows us who handles billing in GMAIRC?
Main
What button in RxNova Call Connect can we select to run a test claim?
Claim Test
What Mentor do we use if a member forgets their User Name for MyHumana?
Sign in Username and Password Assistance
What benefit should be quoted for cataract surgery?
What tab has the group Plan options listed?
Enrollment/Benefits
Where can we see Rx claims?
RxNova Call Connect
Which document do we use for PCP Changes?
Primary Care Physician Changes for Medicare Overview
What is the benefit disclaimer?
"This information is only an estimation of benefits. All payments are based on Medicare policy guidelines, medical necessity, and member eligibility at the time of service."
Where can we see if a Retiree may reenroll after disenrolling?
Enrollment/Benefits Tab > Disenrollment Section
What does 11-PAY stand for on Rx Claims?
Finalized Paid Claim - Paid Without Errors
What document can we use for Immunization Coverage?
Medicare Immunization Coverage Reference
What are the three amigos?
Benefits, Provider Status, & Auth Requirements
What panel in GMAIRC can we use to see how to document Prospective Member calls?
Prospective Mbr Grp Calls
How long does a member have to submit a pharmacy DMR Claim?
The Centers for Medicare & Medicaid Services require that members are given 36 months from the date of the prescription fill to submit their claim for reimbursement.