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I'll tell you if the Member has any other coverage
Qiclink Notes/COB notes
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
This is where you would look up the description of a dental code
Main Menu/Operations/Documentation/Code on Dental Procedures and Nomenclature
This is where you will find scripting for handling Zelis edit questions
Madshare/Customer Service Reference doc
This is where the Medical Necessity list is found
Madshare/Customer Service Resources/Medical Necessity list
This is where you would go to look up CPT and Diagnosis codes
Qiclink/MMQ screen
This is where you would go to update/change a password for a Member
Main Menu/Admin Key/Users
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
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
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
This is where you would find what the Member's network is
Member ID card
This is where you would go to send or receive a secure message
Main Menu/Secure Mailbox
This is where you would go to find scripting for a System Issue with the website
Madshare/Customer Service Resources/CSR Forms
This is where you would go in the website to find all the tickets for a specific member
Tickets/Add/Find Related Tickets
This is where you would go to find out if a Member returned their COB letter (2 places)
Correspondence tab
QL notes/COB notesThis 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
This is where you will find a list of all our groups-hint: excel sheet
Madshare/Mail room List
This where you would go to find the status of an appeal (again 2 places)
Qiclink Notes/Appeal Info
Member's other tickets
This is where you would find a repricing sheet on a claim