Where to Go?

(Blank)

100

I'll tell you if the Member has any other coverage

Qiclink Notes/COB notes

200

This is where the Medical Necessity list is found

Madshare/Customer Service Resources/Medical Necessity list

300

This is where you will find a form to send a Provider-example:  MNR Provider Medical Necessity Review sheet

Madshare/Customer Service Resources/Provider Forms

400

This is where you would go to find scripting for a System Issue with the website

Madshare/Customer Service Resources/CSR Forms

500

This is where you will find a list of all our groups-hint: excel sheet

Madshare/Mail room List

(Blank)

100

This is where you would go to find the Quick Reference Guide specific to our Cedar Rapids Groups

Madshare/Customer Service Resources-CR/Quick Reference Guide

200

This is where you would go to look up CPT and Diagnosis codes

Qiclink/MMQ screen

300

This is where you would go to find out the status of a Medical Necessity review (clue: there are two places)

Qiclink notes/Pre-Authorization notes

and

Member's Other tickets

400

This is where you would go in the website to find all the tickets for a specific member

Tickets/Add/Find Related Tickets

500

This where you would go to find the status of an appeal (again 2 places)

Qiclink Notes/Appeal Info

Member's other tickets

(Blank)

100

This is where you would look up the description of a dental code

Main Menu/Operations/Documentation/Code on Dental Procedures and Nomenclature

200

This is where you would go to update/change a password for a Member

Main Menu/Admin Key/Users

300

This is where you would find what the Member's network is

Member ID card

400

This is where you would go to find out if a Member returned their COB letter (2 places)

Correspondence tab

QL notes/COB notes

500

This is where you would find a repricing sheet on a claim

On the website, on the claim, go to the image (A, B etc) and scroll to the next page

(Blank)

100

This is where you will find scripting for handling Zelis edit questions

Madshare/Customer Service Reference doc

200

This is where you would go on our website to find out how many Physical Therapy visits a member has had for the year

Main Menu/Reports

300

This is where you would go to send or receive a secure message

Main Menu/Secure Mailbox

400

This is where you would go to search for a letter that you isn't found on the Member's correspondence page

Main Menu/Operations/Letter Admin