Benefits, Vendors, etc.
INTENTS
Random
Programs & Such
Spendables
100
Requires 72-hour notice in advance to schedule trips

What is transportation?

100

List of neurologists in network.

What is provider search inquiry?

100

Interaction for Provider call 

What is non member?

100

Applicable members may be eligible for a $100 gift card.

What is In-Home Assessment?

100

Replaced the flex card 

What is Spendables?

200

RED must be READ

What are disclaimers?

200
Member shows dissatisfaction.

What is issues intent?

200

NF means

What is non-formulary?

200

A questionnaire that will help us determine if a member has a need for case or disease management.

What is Health Risk Assessment?

200

Bill pay and order placement

What is Solutran?

300

A formal way of asking us to reconsider a decision that we have made about benefit coverage for you.

What is an appeal?

300
CA COE CLAIMS 

What is HOT TOPICS?

300

TAT for routine (standard) PA?

What is 14 calendar days?

300

Home-delivered meals or nutritional shakes immediately following an inpatient hospital stay (hospital, SNF, or inpatient rehab) to aid in member's recovery consistent w/ CMS guidelines.The plan will provide a maximum of 3 meals per day for 14-days for a total of 42 meals.

What is Post-Acute Meals?

300

Activate, replace, or see available balance

What is a PSP portal?

400

Life Alert

What is PERS (Personal Emergency Response System)?

400

CMS TEST CALL

What is log view status?

400

Caller states they are suicidal or want to hurt self or others

What is a crisis call?

400

Has an NPI

What is a provider?

400

1-855-744-8550

What is Solutran Customer Service- for member use?

500
Authorization for advanced radiology such as MRI'S & CT Scans

What is NIA (National Imaging Assoc.)?

500

Change email or language preference 

What is Update member Preference?

500

TAT for urgent prior authorization

What is w/in 72 hours?

500

Home-delivered meals or nutritional shakes as part of a supervised program designed to transition members with chronic conditions to lifestyle modifications. 

What is Chronic Meals?

500

Does not get rent assistance or healthy food.

What is non-SNP?