Humana General
Humana google
What is Mentor
Used to find Cru routing instructions
What is Pcc Job Aid
Needed before payment information can be provided
What are two pervious payments
This needed before providing policy information
What is correct authentication?
Displays the coordination of benefits (COB) information for each individual under the member ID.
What is the CRI Screen
PPO Policies
What is plans with In and Out of network benefits
Used to confirm Authentication Process
What is HIPAA Overview PCC
can be provided to the caller once the check number and details are given
What is all information requested?
This amount of information is needed before a call is considered authenticated
What is 3 pieces of information
Displays the history of all claims on an individual member or specific claim information if the claim ID is entered.
What is the MHI Screen
HMO Plans
What is plans that have only In network benefits
Used to assist providers with amking demographic changes
What is Provider Issues PCC
Time period before a reissuance of check can be requested
What is 30 calendar days
What are Zip code, group name, group number, product type
used to display member/dependent information from the Claims Administration System (CAS) Eligibility File.
What is the MRI Screen
ASO
What is Administrative services only
Used to locate updates and changes
What is CRM Hot Topics
This is needed before an affidavit can be requested
What is Copy of cashed check
Must be verified if different from initially provided information before claims details can be provided
What is rendering provider information
used to display member/dependent information from the Claims Administration System (CAS) Eligibility File.
What is the MDI Screen
COB
What is coordination of benefits
Used to determine C & I
What is CRM Service Classification and Intent
Service center, department, Topic used when sending copy of check request
What is PPI, Stop Payment, Check copy request
Must be provided when transferring a call to another department
What is name and contact number for that department
Needed for the control lines on the MHI screen
What is MHI, Member ID,,First Name,Relationship,Claim Number