PCP CHANGE
A PCP Change must be made with an ___ provider.
What is INN or In Network?
This application we use on every call to provide benefits.
What is Debut?
What AUX do you use for restroom breaks?
Away
Application we use to look at pharmacy claims
What is RxNova?
Classification and intent for research on a denied claim
What is claims/denied?
We can make a Retro PCP Change up to the __ of the month.
What is the 10th?
This is considered base benefits according to Mentor.
What is Dental, Vision and Hearing coverage?
What time can we log in to Genesys? (when you are in production)
The BIN and PCN for Florida Medicaid
What is 610649 and 03190000
Classification and Intent for Humana ID card requests
We offer ____ _______ to members before a PCP Change.
What is Self Service?
What is DME?
We always _______ transfer when calling MET.
Consult
How much do members receive for OTC benefits?
what is 50$ Per household
Classification and Intent for Transportation benefits
What is Transportation/Benefits?
What is shown as the members PCP when they have Medicare as primary?
What is Medicaid Secondary?
Is a sports physical covered? What Mentor document will you find this information on?
What is yes, Expanded and Reimbursable Benefit Calls Florida Medicaid?
This is what houses all of the phone numbers for Humana.
Genesys Phone Book
This error code is shown when a member is locked into a specific pharmacy
What is 066
Classification and Intent for a pharmacy claim review
what is Rx/Claims?
What department do we send our case to if there is a discrepancy with a PCP change in CI that we cannot correct?
What is PCP Assignment Research Team?
Housing assistance provides what service?
500$ a year for past due bills.
What are the steps to making an Outbound call?
Three lines on the top left, new interaction and add phone number. Click call.
If a member is NOT in CI, can we transfer to MET to add them into RxNova?
Classification and Intent for a Complaint against a provider
Complaints/compliments - QAA