HIPAA
This caller type shares a disclosure section with the Parent of a Minor Child.
Member.
These classes are generally considered controlled substances.
II-V (2-5).
Selecting this option indicates you've looked at a piece of information.
Review check box.
If it exists, the amount the member must reach before cost sharing begins.
Deductible.
This can be partial.
Member's first name.
Member Pays the Difference (MPTD).
Task name where the BET and Addendum are located.
View Benefits.
The section that typically covers GLP-1 coverage.
Weight loss/anti-obesity.
The goal for adherence that must be met weekly.
90%.
This, when granted, is only valid for the duration of the phone call.
Verbal consent.
The key in RXC to begin a test/trial claim, starting from the Claim Transaction Detail screen.
Shift F11 (F23).
In addition to Letter Search Tool, we should use this task for viewing letters.
View Communications.
The BET trumps this section of the benefits.
Addendum.
Paid Time Off is submitted in UKG; Planned Time Off is submitted in _____.
Verint.
When calling this specific type of caller, you can leave the member's name/DOB in the voicemail.
Pharmacies/Prescribers/Clinics.
This rejection is represented by "R81."
Claim Too Old.
Open tasks have this icon, where as closed tasks have a checkmark.
Clipboard.
This section is where we look to see if coverage exceptions are allowed.
Coverage Exceptions.
The name of the survey that is sent out bi-weekly.
Your Voice Matters.
This authorization type is abbreviated as "EE."
Executor for an estate.
The browser-based claim system's name.
JUDI.
Unity Tasks are contained within these; also a label for "inbound-PHD/inbound-member."
Interactions.
A benefit plan summary must be _____ before being visible to us in the BET.
Certified.
The name of the email distro that includes all of leadership, including operations management and site director.
DENPrimeSupervisors@qualfon.com.