Systems
We use this to find the most updated processes and procedures
What is Mentor?
MBR means
What is Member?
The internal extension for Oklahoma Medicaid Provider
What is 1390039?
Unique identifier page
Used when verifying benefits for medical, vision, dental, hearing, or Value-added services or Expanded benefits
What is Benefits/Verification?
We use this tool to find providers for members
What is Find Care (Physician Finder)?
INN means
What is In Network?
External Phone number for ModivCare reservations
What is 877-718-4213?
Enrollment Task page
What is PATR?
Used when a member states they received a letter or call from Humana and are contacting use with the information we requested, or they want to understand next steps as a result of the letter or call
What is Communication/Got a letter/call?
We use this to communicate with the member care staff
What is Guiding Care?
PCP means
What is Primary Care Physician?
The email address for Oklahoma Health Care Authority is
What is SoonerSelect@okhca.org?
Person demographics page
What is PEDM?
Used when the member is requesting a handbook, Welcome Kit, certificate requests, or fact sheet be sent to them
What is Fulfillment/Benefit Information?
We can't take calls without being logged into this system
What is Genesys?
CM means
What is Care Manager?
The external phone number for Superior Vision
What is 800-879-6901?
Person search by name, number, DOB, or SSN page
What is PESL?
Used when a case is created but the caller is not authorized to receive the information they are requesting
What is HIPAA/Not authorized?
We use this backend system for manual changes to a member's demographics, PCP, or to send out ID cards
What is Customer Interface (CI)?
DOS means
What is Date of Service?
The internal extension for Oklahoma CIT
What is 1394141?
Member package inquiry page
What is PAPI?
Used when an AI/AN member is requesting general benefit or scheduling information such as trip milage information, reimbursement or confirming eligibility
What is Transportation/Tribal?