CRM Navigation
What page would you view on a member's account when you are confirming demographics?
Person Account Page
What is the turnaround time for ordering ID cards?
5-7 days
What would your classification and intent be for a member looking for a primary care doctor
Provider/locate
Who can verify/update demographics?
Member, legal guardian, POA
After a member becomes active in CI, how long until the member shows active in CRM?
48–72 hours
When wanting to view details of member's coverage, what page do you navigate to in crm?
Policy Member Page (umbrella page)
What are 4 changes that Generate ID cards?
First name last name date of birth and unique member id
what would be your C/I for a member calling in to change their address?
Demographics/change
What page do you have to be on in CRM to verify the members demographics if its been over 90 days?
person account
True or False: We see a members state Eligibility.
False
If a member says they received a letter or call from Humana, where can you view it in CRM?
what would your classification be for ID card request?
Fulfillment
what would your C/I be for a member calling in asking for a copay on a MRI
In what circumstance can a residential address be Post Office box?
If the member is homeless or in a shelter, they can use a P.O. box as their residence
Who calls to verify members eligibility?
Members, Providers and pharmacies
When creating cases from Quickstart what page in crm do you need to be on?
Policy member page (umbrella page)
What screen in CI can you send ID cards from?
PAID
What would you C/I be if member is calling to see if the plan is active?
Eligibility/verification
If the members are snowbirds and go to Florida during the cold months, do they have to update their residential address?
no, just mailing
What mentor document would be used for Eligibility Verification?
Eligibility and enrollment Medicaid and mmp overview
Where can you find the Medicaid ID in crm?
Policy Member page under Member ids at the bottom
In CI what button do you hit to request the ID card?
F2
What would your C/I be if members POA is calling in to report DOD
demographics/report DOD
True or False: Address changes have to be reported to the state?
True
Where are the two places in CRM that we can see if the members plan is active?
Person account page and plan member page