Mentor Documents
Tools
MISC
Telephone numbers
Misc 2
100

Considered to be our landing page

What is Medicaid Calls Document Index 

100

Helps me locate a doctor

What is PFP and PAAG


100

Humana ID, DOB, Zip code

What is authentication


100

DCBS

What is 1-800-635-2570


100

What is the plan type for KY and SC we service

MCD- Medicaid

200

 The Health Insurance Portability and Accountability Act (HIPAA) addresses the use and disclosure of individuals' protected health information (PHI).

What is HIPAA Overview

200

Our resource system/dictionary 

What is Mentor

200

I need to update my physician

What is PCP change

200

Provider about a claim

What is 1-866-432-0001 / 1390036


200

Unknown caller- they hung up

What is a GHOST call

300

Requested only by Providers and has to be medically necessary 


What is Medical Authorizations and Referrals Overview Medicaid 

300

Used to send a message to care manager

What is CGX

300

Name the supervisor of department

Who is Nina, Tinasha and Pearl

300

Update my DOB - SC

1-888-549-0820
300

I am waiting on my reward card

What is go365 or could be Duals

400
  • Extra programs and services 
  • (VAB)
  • Differ between the Humana Healthy Horizons state plans.

What is Expanded and Reimbursable Benefits Medicaid and MMP Overview 

400

used to look up KY members Medicaid on a state site

what is Kymmis

400

I have an issue with who pays first

What is Other Insurance (COB)

400

I need a care manager

What is 1-888-285-1121


400

Quote benefits

What is Debut

500

I need a translator

What is Interpretation Services Translation Assistance and Leader Escalation Procedures 

500
Used to start our day and end our day

What is CRM 

500

each call should have at least one

What is interaction and Quickstart

500

Pharmacy KY

Medimpact- 800-210-7628

500

Document used to view why claim is denied

What is MTV and CAS EX Codes Guide