PSE Timelines
This PSE must be called the day it is dropped and only requires 1 call attempt
ITC UTR
This tool you can login and view the members website as the member
MyAssistant
Where do you find the link for Verint
Bonus points of *100*
How do you log in to Verint
Toolbar Links button
your email address
If you come across a Plan Sponsor in CEC that is not an A1A plan sponsor, how do you find the correct plan sponsor?
Select Membership Tab
What is the sum of 11.5 and negative 14
-2.5
This PSE must be called the day it is dropped and must be within 3 business days
any MRI/CT
This tool allows you to search for INN providers based on smart compare, provider tiering and distance from the member.
Smart Provider Finder
Where can you find the PSE Digital Campaigns?
Under the PSE Digital Campaigns link on the PSE Sharepoint
Under this tab in the Case is where you find the "PSE Message" or details about the member/PSE
Related tab
How many justices serve on the US Supreme Court?
Nine
This PSE has a 7 business day turn around time
RX Adherence
This chart allows you to look up whether a CPT Code and DX code is preventive
Preventive Care Codes Chart
What button can you find calls that you can listen to for call examples
Call Library
Under this, you can see the members Encounter, Medication, Immunization, Delegation and "is auth response".
Clinical Data Viewer
What do you call a scientist that studies weather?
Meteorologist
how many business days is the monthly turn around time
15
This is an app that you can use that can transcribe your phone calls and create notes for you.
Comprehensive, evidence-based online health encyclopedia to offer clear, jargon-free information on thousands of conditions, symptoms, medications, and treatments
Healthwise Knowledge Base
Under this, you can see what programs a member has available to them.
Entitlements
What is the value of PI up to 2 decimal places?
3.14
What is the maximum amount of days that a PSE should be open
45 days
This tool can be used to look up information regarding medical claim summary, rx claim summary and pse history summary
Case Prep Tool
Where can you find the list of all the PSE Case types?
Under the CM Case Decision Guide and the click on PSE Case Types
You should be checking here before you make every call. Even if you just made a call the day before
Snapshot
How many bones are in the human body?
206