What system will we go to first when we need to verify if A and B are active?
Jarvis (or PCL)
My agent is asking me to verify someone's MBI:
What should I ask for and where do I go?
Name
DOB
SSN/Partial MBI-Address
MARX
What are the Part A and B effective dates for Annie Armstrong DOB 07/28/1934
8RM5MN5CW94?
Part A - 10/01/1984
Part B - 01/01/2006
What are the counties in OH that we will have to check to see if the client has a OH MMP?
Columbiana, Cuyahoga, Geauga, Lake, Lorain, Mahoning, Medina, Portage, Stark, Summit, Trumbull and Wayne
What is the local phone number for Massachusetts Medicaid?
Local: (617) 573-1770
What system will we go first if we need to verify if someone has LIS?
Jarvis (Or PCL)
My agent is looking to verify the level of Medicaid -
What should I ask for?
Zip code
Medicaid/SSN if they have it
WENDY NELSON Date of Birth 01/18/1960 Medicaid ID 1000239044 Zip code 02852 Rhode Island
What level of Medicaid if any does this client have?
None
What is the NPI for Virginia?
1669498515
If we have to call into the Georgia IVR system - what is the Provider ID we will put in?
953601852*21
What system will we go to verify if someone needs a Medicare number?
MARx
My agent is asking for the effective dates for Part A and B?
What should I ask for and where should I go?
Name/Date of Birth
Medicare Number (or SSN if dont have it)
jarvis/PCL
Shirley Ryder Date of Birth 03/04/1956
Medicaid ID Q017998
Zip code 80226
Is she eligible for the Dual Complete CO-S4?
Yes
3. Ensure Status is Active and select 'Legacy Coverage & Benefits' tab, if not already selected.
If a client shows as inactive in California RPA, does that mean automatically they do not have medicaid?
No we will search Active and Inactive for CA
What system will we use first to verify Medicaid?
Jarvis/PCL
My agent is needing to find out if a client is showing an "Unlawful Presence"
What should I ask for and where do I go?
Name/Date of Birth
Medicare Number (or SSN)
MARX
Brian Isdell DOB:5/14/1956, Medicaid #: 947298899R Zip code 28227
Is the client eligible for UHC Dual Complete NC-D001 (HMO-POS D-SNP) ?
Yes
What is the Phone number for the South Dakota IVR Verification?
(Note not the number under State Assistance Locator)
800-452-7691
What is the PA Local Medicaid number we can give an agent for their client?
Local: (717) 787-1870
What system will we use if we are not able to verify Medicaid in Jarvis?
RPA
My agent is asking for the Medicaid ID and Jarvis is down
What do I ask for and where do I go?
Name/Date of Birth
SSN if they have it/state requires
RPA
Robert Maciejczak Date of Birth 02/23/1953
Medicaid ID 105170811199
Zip code 46953
Can they enroll into the
UHC Dual Complete IN-S001 (PPO D-SNP)
Yes
Note - May use Integrated Care SEP due to the consumer's UHC Medicaid alignment.
What are the ways we are able to search a client in the state of California?
Medicaid ID or SSN
What is the NPI to search in Massachusetts
There is none we will not help with this state