MARx
Medicare
Coding
PDP
HMO Apps
100
The number we use to verify a member's eligibility in MARx.
What is the Medicare Claim Number?
100
The minimum age to be eligible for Medicare if not disabled.
What is 65?
100
The code for member's who are currently patients of their PCPs.
What is a C?
100
The requirement for enrolling in a PDP.
What is Part A or Part B?
100
The person who oversees a member's care.
What is PCP?
200
The last field in the member's record you need to check in order to complete a MARx verification.
What is LIS?
200
The outpatient services component of Medicare.
What is Part B?
200
The code that represents the medical and/or prescription information in the Plan Code.
What is the rider?
200
The Part of Medicare that a PDP covers.
What is Part D?
200
When the member is applying to join the plan.
What is the effective date?
300
The field you should check when verifying a member's information in MARx.
What is Eligibility?
300
The medical condition that may disqualify a member from joining a Medicare Advantage Plan.
What is ESRD?
300
The code that indicates a Primary Care Physician's panel is open to all patients.
What is Y,N,N?
300
The plan that is incompatable with a PDP.
What is HMO?
300
This affects the premium that a member pays.
What is the county?
400
The code at the beginning or the end of a Medicare Claim Number that signifies a member is military or a military spouse.
What is M or MA?
400
The full name of the Federal agency that oversees Medicare.
What is the Center for Medicare and Medicaid Services?
400
The most common transaction used in coding.
What is 61?
400
Vermont, Massachusetts, Connecticut and Rhode Island.
What are states that are covered by THPMP PDP?
400
This information can be helpful if we are unable to reach a member.
What is the emergency contact?
500
Medicare Advantage Prescription or Rx.
What does MARx stand for?
500
How long you or your spouse have to have worked in the U.S. to be eligible for Medicare.
What is ten years or forty quarters?
500
The code for an applicant who is not new to Medicare and has LIS.
What is a U?
500
The plan that is offered with a PDP through Employer Groups.
What is Med Supp?
500
Nine different plans.
What is the number of HMO plans we offer?
M
e
n
u