INTAKE
System used for creating cases
What is ICUE?
Used to assign cases when auto routing fails
What is intake work queue?
This system is used for checking members eligibility.
What is facets?
These state plans have no ONN benefits.
What is Medicaid?
NC/VA/DC
What states do we service?
This has to be added to case if member is Head in Bed.
What is actual admit date?
This tool is used for quoting member benefits.
What is B360?
This tab is used to search providers and verify network status.
What is provider tab?
PNL is used to check auth requirements for this plan type.
What is Medicare?
This state does not require INN providers to submit auth requests.
What is NC?
Needs to be done for OP surgery cases performed in a facility.
What is split the bill?
Tool used for creating cases with correct service detail.
What is auth entry grid?
This is used to check members primary doctor.
What is PCP tab?
We do not build BH auth cases for these plans.
What is all of them?
This plan has no HCBS benefits.
What is VA DSNP?
Additional step for NICU case entry
What is create newborn?
This tool houses all SOP's/Tools for Intake.
What is the C&S Intake sharepoint?
Name & DOB, Government ID, UHC ID
How to search for members?
This grid is used to check specific state requirements.
What is SSG?
This state does not allow providers to bill newborn claims under mother's ID.
What is NC?
Complete and add to all intake cases
What is note template?
Step by step guide for creating intake cases.
What is ICUE how to?
Used to check if member has an additional primary insurance.
What is COB tab?
This plan type can be a HMO or PPO.
What is Medicare?
This state has 2 Medicaid network prefixes?
What is VA?