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Systems Overview
Documentation
Miscellaneous
Value Added Benefits
Russian Roulette
100
This is the program we utilize for email and updating our calendar
What is Outlook
100
What you need to update when the status of the case changes
What is the Universal Spreadsheet
100
Program members can call ANYTIME to speak to an RN about their health
What is the 24/7 NurseLine
100
Company that offers rides to and from doctor’s appts and benefit renewal appointments. This company also reimburses .30 per mile for when members have their own transportation
What is LCP
100
What are the 3 Anthem Medicaid products (give full name)
What is Hoosier Health Wise, Healthy Indiana Plan, Hoosier Care Connect
200
This system is a form of Instant Messenger for all Anthem employees and must be logged in to every time you are online
What is Lync
200
Two things needed to verify every time a member is outreached
What is Eligibility and HIPAA
200
Department that members should call for questions regarding in network providers, handbook requests, replacement ID cards, their POWER acct. contribution, any bills they receive, as well as general questions about their plan?
What is Member's Services
200
Cell phone carrier that offers a free phone to Indiana Medicaid members
What is SafeLink
200
Person you email a copy of all referrals to every Wednesday, orders for collateral, and ask questions about the Universal Spreadsheet (full name)
What is Ashley Bailey
300
This system keeps track of members on the Do Not Call (DNC) list
What is CPSUI
300
Full name of the only note template to be used to document interactions with members
What is Condition of Interest
300
Assessment members can take anytime, but receive a $10 credit to Walmart if taken in the first 90 days (can only access on chrome browser) *must say full name*
What is The Health Needs Screening (HNS)
300
Resource database utilized to find members assistance to removing barriers?
What is Aunt Bertha
300
Three departments that we refer to using the queues
What is Physical Health CM, Behavioral Health CM, High Risk OB
400
The system in which you check eligibility EVERY TIME before interacting with a member
What is CoreMMIS
400
Full name of note template used when referring member to be called by Case Management
What is CM Referral Transition
400
Name of the app members can install on their smart phones
What is Anthem Anywhere
400
VABs (3) that can be offered ONLY to those members who have a BMI over 30
What is Personal Exercise Kit, Weight Watchers, and YMCA
400
What is unique about BOTH the L&E managers email and the Program Coordinators?
What is 2 after their last name
500
This is the system that we can see member’s utilization summaries of ER visits, pharmacy usage, office visits, and hospitalizations
What is Member360
500
What is the correct format for naming a case?
What is CHW Program “primary diagnosis”
500
Anthem Indiana Medicaid Website URL
What is www.anthem.com/inmedicaid
500
The credit amount given ONLY to members with a diagnosis of asthma, allergies or chronic respiratory or pulmonary conditions.
What is $100
500
BONUS QUESTION: (worth 2x the points) who should we all email and thank for ordering our office equipment and getting us access to the systems.
What is Michelle Cedeno