CRM
These 2 must be in the greeting
What is your name and Humana
This determines the menu and suggested mentor docs
This is the method we use for Kentucky MCD
What is Medicaid then the network
You need to make sure you get this at the beginning of the call
What is the callers name
I can find the providers Fax Number here
What is PAAG and Service addresses
On Multiple member calls I do this to add another member
What is next member ID, then Interact With will update the information
My Other Insurance information can be found here
what is Other Insurance YES
Plan Information select the hyperlink to view the other insurance
I set G&A to this
what is NO
Most providers will submit this in writing so we can go ahead and check this off.
If the provider is listed it means this
They are INN with KYMCD
if they are not then they are not
I use this instead of writing the information
What is Logging
The 2 pieces of information that is required for callback
what is name and extension
I use this this radius when finding a provider
What is 30 or 50