MC400
What screen do you see eligibility and PCP information?
What is Display History.
What does LEP stand for?
What is Late Enrollment Penalty?
This is where you check for preventive services due for members
What is MPG Tool --> Gaps in Care?
What parts of Medicare does someone have to have to qualify for a Medicare Advantage plan?
What are Parts A&B?
What code do we need to use at the end of every Medicare call to summarize?
What is MCR
What system do I need to assist me with ordering ID cards?
What is The Toolbar?
What is EOC stand for?
What is Evidence of Coverage
This is the system we take member payments
What is ACI?
What brand of Diabetic Supplies do we cover?
What is LifeScan?
What code do we use to file complaints/appeals?
What is GCA?
What is Second Screen?
What does ESRD stand for?
What is End Stage Renal Disease?
This is where you can view member invoices
What is Filenet?
If someone is being involuntarily terminated due to non payment of premium, they have ONE chance to file a what?
What is a Good Cause Reinstatement?
What category and activity code do we use to update a PCP?
What is PVB032?
Where can we find the member's LIS level in MC400?
What is Member Additional 2?
What does AOR stand for?
What is Appointment of Representative?
This is where you can view vision claims
What is AS400?
To view a member's EOC, we can search KIP by using what information?
Two different answers are acceptable.
What is PBP or Plan Code?
What code do you use after submitted a Coverage Determination?
What is RXF800?
When a provider calls, what do you need to ask them for to document the call?
What is their Tax ID?
What does IRE stand for?
What is Independent Review Entity?
This is where you can change a member's address and order bathroom safety devices
What is Medicare Resource Guide Sharepoint?
If a member disagress with their LEP, they can appeal with the IRE. Who is our IRE?
What is Maximus?
What code do you use to document that you submitted an Organization Determination?
What is ODG?