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What room am I
What System am I
What Job Aid am I
100
Where you find the members Medicaid number in Facets
What is the General Room
100
Where you can view your hours, important alerts, and training materials
What is RNET
100
Provides you with the scripted call opening, closing, hold procedure, ghost call verbiage, and warm transfer language
What is Call Etiquette
200
Where you locate the member's plan name
What is the Eligibility Room
200
The source of truth for Medicaid Eligibility
What is EMEVS
200
Provides you with step by step instructions for handling member requests to change Primary Care Physicians
What is PCP Workflow
300
Where you find the members current PCP
What is the PCP Room
300
The off the shelf system that houses the Member account information for Horizon
What is Facets
300
Provides you with step by step instructions on how to reach a phone interpreter and utilize their services
What is Language Line Instructions
400
Where you find the members Authorization and Referral History
What is the UM History Room
400
The system where you can view your daily scheduled activity
What is NICE
400
Provides you with step by step instructions on how to correct eligibility discrepancies between Facets and EMEVS
What is EMEVS
500
Where you can see if the member has any other insurance besides Horizon and Medicaid
What is the COB Room
500
The system where you can locate plan specific information including Benefits, Programs, and Providers
What is HorizonNJHealth.com
500
Provides you with step by step instructions on how to handle calls from members wanting to add or remove additional insurance carriers from their account
What is Third Party Liability