What's for your floor
Contains the monthly premium statement.
Invoice Tile
It is located below the Record Locator and the Primary Tab/s. It contains the name of the Contact (Member) and the Quick Action Buttons.
Task Bar
Shows the member’s interaction history.
Cases
Allows you to send correspondence, thru mail, fax and email
Send Form button
It shows the authorized caller and its details.
Authorize Contact
Component that runs in the background allowing you to make incoming and outgoing calls through the widget
Avaya Agent
Includes general information about the claim submitted (e.g. DOS, Claim Type, Claim Paid Date, FFS/ Capitation Indicator, Kick Out Code Description).
Claim Header Tile
Contains warning messages that either reminds or prompts the advocate to accomplish a task/s.
Alerts
Contains the member’s current and previous health plans along its details.
Plans, Benefits & Accumulators tile
It allows you to receive, make, transfer calls and change your state (AUX) inside the Sales Force Console
Avaya Widget
It Contains the list of all procedure codes that are billed for reimbursement
Line Details tile
Allows you to access links and portals in Service cloud.
Quick links
It allows the advocate to search provider and elect PCP.
Network information tile/provider search
Contains eligibility warning signs. e.g. LIS and LIS Amount, LEP, Foster Care, Homeless Indicator
Flags and Indicators
it contains the EOC and Denial Codes and its descriptions.
Codes and Descriptions Tile
Allows you to locate providers participating status
Network Information/provider search link
This page automatically populates when a member verifies their Information in the IVR.
Landing Page
It contains the member's Details (ID, Address,DOB, LOB, Phone, Responsible person)
Member Demographics
It shows the Payment details (payment type, check status, payee name, remit# etc.)
EFT/CHECK/Virtual Card Details
Allows you to see the tied accounts in the members policy.
Family tile