MC400
What screen do we see the members county?
What is MPrf.
What does LTSS stand for?
What is Long Term Services and Supports.
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 (Part C)?
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 see pharmacy claims.
What is ESD?
What brand of Diabetic Supplies do we cover?
What is LifeScan?
What code do we use to file complaints/appeals?
What is GCA?
Where can I see the last ID ordered?
What is Second Screen?
What does ESRD stand for?
What is End Stage Renal Disease?
This is where you can complete a Health Assessment Survey (HAS) with the member on the phone.
What is HealthPlanet?
To be on CHC ONLY (not eligible for Medicare yet), you must have this.
What is a LTSS?
What category and activity code do we use to update a SNP PCP?
What is PVB032?
Where can we find the member's LIS level in MC400?
What is Member Additional 2?
What does HCBS stand for?
What is Home and Community Based Services?
This is where you can view previously placed Prescription/Medication authorizations.
What is PA Hub?
To view a member's EOC, we can search KIP by using what information from MC400?
What is the 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 CHC member has questions about receiving money from us to assist in leaving a nursing facility, where should we transfer them?
What is the SCA line?
What code do you use to document that you submitted an Organization Determination?
What is ODG001?