Knowledge Central
Websites
All Things Pharmacy
I Stand for Something
Random
100

I am the job aid used to verify a member when calling in to UHC.

What is the HIPAA-Index?

100

I am the website that finds helpful resources related to food, housing, utility help, etc...

What is Aunt Bertha or findhelp.org

100

I am the government help that lowers the price of RX. I come in levels.

LIS (Low Income Subsidy)

100

EOB

What is Explanation of Benefits
100

I am the system you always start with when receiving a call.

What is Maestro?

200

I am the job aid used to help set up access for MARx

What is MARx Users Guide - User Registration ?

200

I am the end all know all website of the government that verifies eligibility

What is MARx

200

I am the list of prescription drugs.

What is Formulary

200

ANOC

What is Annual Notice of Change
200

I am the company's intranet.

What is Sparq?

300

I am the job aid that helps you with fulfillment for members.

What is Initial Fulfillment Requests ?

300

I am the system that houses Medical Prior Authorizations. I am the system that you will use to also complete Health Risk assessments.

What is ICUE?

300

With B vs D excluded, the turnaround time for an expedited Coverage determination would be this timeframe

What is 24 hours?

300

EOC

What is Evidence of Coverage

300

I house your schedules

What is IEX?

400

I am a decision tree to assist in answering member's questions regarding their benefits.

What is Quoting Benefits?

400

I am the website you must go to for initiation of a Coverage Determination. I must be filled out along with Maestro.

What is PAS (Prior Auth System)?

400

I am the intent in Maestro that quotes the tiers of RX for members.

What is Review RX Benefits?

400

MIOD

What is Member Initiated Organization Determination?

400

This job aid should be pulled up every time any grievance, OD, CD or appeal is being filed.

What is Compliance One Source?

500

What decision tree do you use to assist you in changing a primary care physician?

What is PCP Changes DT

  

500

I am the important step of any Organization Determination. I must be filled out along with Maestro.

What is the InfoPath Sharepoint (MIOD form)?

500

Besides Maestro, I am the DOSS system that houses a member's RX claims.

What is RX Claims

500

MARx

Medicare Advantage Prescription Drug

500

I am the process when the member disagrees with a plan's decision or the amount the member owes.

What is Appeal