Medicare
What part is a Humana Medicare Advantage Plan?
What is part C?
What is the primary system used by advocates?
What is CRM?
This Mentor document is the starting point for taking Individual Medicare calls.
What is the MAPD Index?
A member calls in to verify benefits.
What is Benefits and Verification?
The landing page after creating your interaction.
What is the Person Account page?
What part covers inpatient hospital stays?
What is part A?
What is the system that feeds CRM?
What is hodmod or c/i?
What is one mentor document you should check at the start of your shift?
What is the Medicare Hot Topics document?
A member calls stating they received a call that a referral was approved.
What is Auth/Referral and Notification?
The page you must be on in order to create a case using quick start.
What is the Plan Member page?
What part covers durable medical equipment?
What is part B?
What is the system used to verify a member's plan information, extra help status, and name/dob/dod?
What is Marx?
What button would you click to see any changes made to a mentor document?
What is the show updates button?
Ghost call.
What is Other/Miscellaneous and No Caller On the Line?
The button you click when the case needs to be worked by another department.
What is the Save & Transfer button?
How many days + must a beneficiary go without prescription drug coverage before an LEP is assessed?
What is 63+ days?
What system is used to view a paper application?
What is Spidar?
When viewing a mentor document who should the audience include for your role?
What is Individual Medicare?
A member requests a specific in network primary care physician to be assigned, but you get an error in c/i. Additional research is needed.
What is PCP Change and PCP Research Requested?
On what page will you find a consent form or POA?
What is the Person Account page/HIPAA tab?
What is the timeframe for the Initial Election Period?
What is 3 months before and after turning 65?
What system is used to verify eligibility and send member a Cologuard kit by mail?
What is the STARS Test Kit portal?
Where can you find real time alerts in mentor?
What is the mentor home page?
Member wants to appeal a denied drug claim.
What is Rx and Part D Redetermination?
On what page might you find Guidance and Contact Handling alerts?
What are the Person Account and Plan Member pages?