General System
What does CUT stand for?
Correspondence Unit Tracking
Use this category code when you're verifying any eligibility
ELD
Code to use for initial and reinstatement payments
IVF001
What does the second P in PCP stand for?
Provider
What specific code should we always include?
Gaps In Care (GIC)
What does the customer refer to as the Reference Number?
CUT Log
Use this category code when members are calling about specific benefits, copays, etc...
BNA
Code to use for general billing questions
IVF010
Code used when we verify the PCP on the member's card is correct
PVB020
When you make a call and leave a message, what outreach code is used?
ORK030
The contact type refers to whom?
The person calling in
Use this category to add things to your work list
HPF
Code to document premium payments that aren't initial or reinstatement payments
IVF065
Code to use when looking up PCPs for a member
PVA010
Code used when transferring to CHIP sales
XFR105
Reference type refers to whom?
The person the call is about
Use this category code when you a member has questions about claims, i.e. "Why am I getting this bill?"
CLA
Code to use when we set up autopay
IVF081
Code used when setting up an appointment for the member with their PCP
PVA071
A member calls in questioning a bill, you determine they're being balance billed and call the billing department where they agree to write it off. How many codes would you document?
3 - CLA for the inquiry on the claim, ORK outreach to the office, GIC gaps in care for the member
What does it mean that the toolbar is dynamic?
The options change based on what screen you're viewing in MC400
Use this category code when a member has questions about Suboxone
SPA
If we make a payment under the wrong member, who should we contact?
Premium billing email hppremiumbill@upmc.edu
Code used when setting up an appointment for the member with their dentist
PVA073
Code used when you disconnect from a call for no response (contact type is OT - Unknown)
OTA020