CI SCREEN
What is the Home Screen in CI?
PAPI
what acronym is used for Ancillary Services
PARE
What field is optional in crm interactions ?
Name
which screen is used to find referrals for six years ago ?
RSI
What does the HMO acronym stand for?
Health Maintenance Organization
What does CI stand for ?
Customer Interface
He notices Humana pays 80% of wheelchair cost. What type of benefit is this ?
coinsurance
What is CRM?
Customer Relationship Management
what cas screen is used to identify pre admissions ?
PRI
This plan has in and out of network benefits .
PPO
What is the command for pcp change ?
PAMG
what term is considered " Per member, Per Month?
Capitation
If I am speaking with the member ,what do I click in the interaction log ?
Interacting with and About
What screen is used to used for a list of referrals ?
RFI
what plan offers benefits in network services only?
HMO
What command is used to create a task?
PATR
what are three categories for hospital services ?
Inpatient
Outpatient
Emergency room services
what link do I press in CRM, to locate a pcp ?
Physician Finder Plus
Whose responsibility is it to submit the Authorizations ?
Provider
What department would you transfer this plan to POS ?
COOMMERCIAL
What command is used to view multiple plans?
PAAL
the dollar amount submitted by a provider of service as their fee of service
total/billed charges
What are the four things you would ask for if the caller is not authenticated ?
Humana Id
DOB
ZIP CODE
First and Last Name
Who handle Medical Authorizations ?
Clinical Intake Team
On what screen in CRM do I find the plan type for the member ?
Details Page