Systems
We document in here on every call
What is MC400
When is open enrollment?
What is October 15th through December 7th
CVS is a ___________ pharmacy
What is standard?
How long is a standard grievance?
What is 30 days?
We use this code to change a persons address?
What is END012?
We look in here to see if the member has a PRD or POA
What is MC400 >> Memo Alerts
where do we do verbal plan changes at?
What is the sharepoint?
We use ________ for our mail order scripts
What is Express scripts
how long is a standard cdag?
What is 72 hours?
We use this to send out a PRD form
What is HPA021
We see a members SNF days in here
What is healthplanet?
if a member wanted to switch plans in the middle of the year they would need a
What is a SEP?
what two systems do we need up for do a CDAG?
What is ESD and PA hub?
how long is a standard odag?
What is 14 days?
This code is a good cause to use when we quote someone's deductible
What is BNA250?
What is ESD?
what is the plan code to change a plan?
What is ENE090?
How many calls do we give the member to let them know that their medication was either denied or approved
What is 1
how long is a expedited ODAG?
What is 72 hours?
We use this code to document a travel benefit inquiry
What is TRV?
How do we enter a members ID number in ACI?
What is drop the 01 at the end add a 0 at the beginning
When a member attests to an LEP what three things should we be asking them?
What is 1. the dates in question, 2. what coverage they had. 3. do they have their old ID number with their old policy?
If we see a denial in pa hub for a medication what is the next step we do for the member?
What is check Medhok for an appeal, if there is none offer the appeal for the member
How long does a good cause reinstatement take?
what is 7-10 days
What is the code we use to discuss silver sneakers?
What is BNA 189?