Name
That
Mentor
Find
That
Process
What
is
that
Screen?
100

This mentor is used when a member is asking about a CGM

Diabetic Care Overview 

100

Where do we go to see who handles demographic updates? 

GMAIRC > Enrollment/Benefits Tab

100
  • Retrieves 1 specific claim processed on a member

MHI Screen

200

This mentor is used when a member does not agree with the outcome of a claim 

  • Member Grievance and Appeal for Medicare Calls Overview
200

Where do we go to see if DMS can sell Dental and Vision? 

GMAIRC > Main Page 

200
  • Displays the accumulation history information for a member or plan by a specific month and year

MAI Screen

300

This mentor is used when a member rep calls with no poa or consent on file 

HIPAA Overview

300

Where do we go if we need to send out consent forms?

EMME 

300
  • Displays coordination of benefits (COB) information of family or individual

CRI Screen

400

This mentor is used to locate phone numbers

 Medicare Phone Numbers

400

Where do we go to see if a procedure needs a prior auth? 

  • Humana Customer Care Preauthorization and Notification List
400
  • Locates claims using month and year for a member

MDI Screen

500

This Mentor is used for the call flow!

Custom Connect Group Medicare Call Handling

500

Where do we go to find a direct member reimbursement claim image?

  • Humana Image View Station
500
  • Displays the procedure codes associated with durable medical equipment (DME) by member and by claim

DMI Screen

M
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