Maestro
The 9-digit number advocate need to access account information
What is Member ID?
Daughter calls for mothers account these things need to be verified
What is First name & last name, DOB, member ID, and physical address?
Qualifications for Medicare
What is +65?
What is certain disabilities?
What is ESRD?
The four levels of Coverage in order
What is
1.Deductible
2.Initial
3.Coverage Gap
4.Catastrophic
The abbreviation and what the letters stand for 3 part start.
What is AAR?
What is Ask, Acknowledge, and Reassure?
This is where you go to access an intent
What is "Add Task"?
You can NOT discuss this with an authorized rep
sensitive information
Define part A and what are three benefits
What is hospital coverage?
What is Inpatient or outpatient rehabilitation services after a qualified inpatient stay?
What is Lab tests, X-rays and medical equipment used as an inpatient?
What is Skilled nursing services?
This is the period prior to plan coverage beginning. During this phase of coverage, the member is responsible for 100% of their drug costs for tiers that the deductible applies to until the deductible amount is met.
What is deductible level?
The amount of time it takes for one time EFT payments to appear on member's bank account.
What is 72 hours?
This intent allows you to pull up the account summary
What is Review Medical Benefits?
What is Review Claims History?
What is no restrictions under the POA.
Define Part B coverage and what is NOT covered
What is Medical Coverage?
What is Eye exams, eyeglasses or contact lenses, Hearing tests or hearing aids, Dental exams, cleanings, X-rays or routine dental care, Acupuncture, and Most prescription drugs?
The period after the deductible has been met and the total drug cost is less than the Initial Coverage Limit?
What is the Initial Coverage stage?
DMR
What is Durable Medical Equipment?
The group of tabs on the members profile are
What is 360 Overview?
The guardian or trustee for a deceased member can access this information compared to someone who is not
What is Member Medical Information?
You can't have this with out two other parts... Type of plans that offer this part.
What is Part C?
What is Medicare Advantage?
The coverage gap is the period between
What is the member meeting the Initial Coverage Limit and prior to meeting True Out of Pocket (TrOOP) cost?
Document that shows details about medical services the member received including the plan/member's responsibility.
What is Explanation of Benefits(EOB)?
The category and Intent used to send out a member id card
What is "Member category" and "send non-marketing materials" intent?
This can be accepted from any caller type authorized or not...
What is accept plan premium payments?
Define Part D and all benefits
What is Prescription drugs?
What is types of drugs most commonly prescribed for people eligible for Medicare , and specific brand name and generic drugs on the plan’s drug list
Catastrophic coverage
What is the period after the member has met the True out of Pocket (TrOOP) cost for the benefit year?
System used to view system generated letters, EOBs, and billing statements.
What is Doc360?