Systems
Original Medicare
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Definitions
Misc
100

This is a general landing page to access applications

My Apps or go/myapps

100

often referred to as hospital insurance. It helps cover inpatient care in hospitals, skilled nursing facilities, hospice care, and some home health care services.

Medicare Part A

100

This system is used to order and view ID cards

ID Card Center

100

is a request for payment that a healthcare provider, facility, pharmacy, or member submits to a health insurance plan after healthcare services or items are provided.

Medical Claim

100

To fulfill our purpose, take bold action to impact the lives of people and transform the healthcare industry.

Committed

200

This system we use to locate claim payment details such as check number


Associate Remittance Inquiry

200

known as medical insurance. It helps cover outpatient care, doctor visits, preventive services, and some home health care. This includes medically necessary services and preventive services like vaccinations and screenings

 Medicare Part B

200

 This system is used to find In Network providers

Find Care

200

is a request for payment submitted to a health plan or pharmacy benefit manager after a prescription drug is dispensed to a member.

Pharmacy Claim

200

What system do you use to input your time sheet 

Workday or go/workday

300

This system is used to locate Medical Authorizations 

CGX 

300

part of Medicare that helps cover the cost of prescription drugs. It is offered through private insurance companies approved by Medicare.

Part D

300

This system is used to research paper applications

SPIDAR

300

our distinct approach to work — a shared set of principles and behaviors that guide how we show up every day. It turns our values into action, creating a consistent way of working across the enterprise.

Humana Way

300

a communication skill where a person gives full attention to the speaker, seeks to understand the message, and responds in a way that shows understanding and engagement.

It involves listening not only to the words being said, but also to the speaker’s tone, emotions, and intent.

Active Listening 
400

This system is used to research drug pricing 

Rx Connect Pro

400

an alternative way for people with Medicare to receive their Medicare benefits through a private insurance company approved by Medicare. Must cover all medically necessary services that Original Medicare covers, but they may use different rules, provider networks, referrals, or prior authorization requirements. Many plans also include additional benefits, such as prescription drug coverage, dental, vision, hearing, fitness, or wellness benefits.

Medicare Part C, also called Medicare Advantage,

400

This system is used to view claim images 

Humana Image View Station or go/hivs

400

Create an environment where people feel valued, respected and are treated with kindness.

Caring

400

a healthcare company focused on helping people achieve better health through health insurance, care delivery, pharmacy services, and related healthcare solutions.

Humana

500

This system is used to look up plan premium payments

Ebilling

500

It is an extra amount that some people pay in addition to their standard Medicare premium if their income is above certain limits. Can apply to:

  • Medicare Part B medical insurance premiums
  • Medicare Part D prescription drug coverage premiums

IRMAA - Income Related Monthly Adjustment Amount

500

This system is used to verify provider network status for providers who may be non-print

Provider At A Glance or go/paag

500

Work and learn together creating the best solutions for the people we serve.

Curious

500

is the ability to understand, recognize, and appropriately respond to another person’s feelings, experiences, or point of view. This means listening carefully, acknowledging the person’s concern, and showing that their situation matters.

Empathy