Systems
Departments
Abbreviations
Tools
CI
100

Used to check benefits

Debut
100

Handles Claims for VA Med

Inbound VA MCD

100

MBR

Member

100

Used to communicate with your team

Teams

100

Function Key to display information

F4

200

Used to check pharmacy claims

RXNova

200

Handles Medicare only policy

Duals

200

DEPT

Department

200

Used to send out ID Card

ID Card Management

200

Screen to show unique identifier

UMID

300

Used to complete HRA

Guiding Care

300

Handles Rewards

Go365

300

COC

Continuity of care 

300

Used to send out booklets

OES

300

Screen to send out ID Card

PAID

400

Used to complete call

Genesys

400

Handles VA MCD Transportation

ModivCare

400

N/B

Newborn

400

Used to send out letters

EMME

400

Function key to refresh page

F5

500

Used to look at member's policy IF not showing in CRM

CI

500

Handles Dental benefits/provider locate

DentaQuest

500

HCPR

Humana Clinical Pharmacy Review

500

Used to locate In Network Providers

PAAG or Provider Locate

500

Screen to search member by name, DOB, number, or SSN

PESL