Systems
In what system(s) can you make a CUT log?
What is MC400?
What is the closing for your calls?
What is “Thank you for calling Mrs. Smith, it was great to speak with you today. After I disconnect, there will be a four question survey regarding the services I provided today. If you could stay on the line, I would really appreciate your feedback! Thank you for choosing UPMC Health Plan, your trusted health partner!”
What screen in MC400 can you see a member's date of birth?
What is Display Members?
What do you need to find a member in HealthPlaNET?
What is their name and date of birth or their member id number?
In what system(s) can you view prior authorizations for procedures?
What is MC400 and HealthPlaNET
What is the minimum number of PHI piece do you need to verify?
What is 3?
Name 2 types of facilities we can search for
What are Hospitals, Urgent Cares, Outpatient Surgery Centers, Durable Medical Equipment, and Laboratories, Physical, Speech, and Occupational Therapy?
What is a caret?
What is the sideways triangle symbol is called a caret. It will take you to a menu
How would you check a CUT Log in HealthPlaNET?
What is:
Click Person
The go to CUT Logs
In what system(s) can you make a one time payment for Marketplace premiums?
What is Velcity and ACI?
What is a Gap In Care?
What are "Any past due preventive services that are available to them at no cost"?
What is dermatology?
What is the branch of medicine concerned with the diagnosis and treatment of skin disorders.
What does PRD stand for?
What is Personal Representative Designation?
Where can you see a member's PCP in HealthPlaNET?
What is on the left hand bar towards the bottom?
In what system(s) can you set up autopay for a Marketplace member?
What is ACI?
When you cannot find an answer, where can you reach out to get the answer?
What are the Resource Unit, Managers, Team Leads, and coworkers?
What is the official name of an Ear, Nose, and Throat doctor?
What is an Otolaryngology?
What is an H6 form?
What is an Alternate Address Form?
Where can you find a HIPPA form in HealthPlaNET?
What is under Notifications?
What is the name of the system(s) that you log into to take calls and send emails?
What is WDE (Workspace Desktop Edition)?
What does BASICS stand for?
What is:
B- Begin
A-Authenticate
S-Summarize
I - Investigate
C - Close
S - Survey
What kind of doctor takes care of Colitis?
What is a Gastroenterologist?
In what screen can you get the most current break down of a Marketplace member's premium?
What is the HIX screen
Where can you find Medical Prior Authorizations?
What is under UM Cases?