1
A technical issue has been discovered when utilizing the HoME/Member Engagement link in Maestro. HoMe provides accurate touchpoint history when the user filters by Digital activity or uses other filters like Letters. True or False:
False
2 ways to submit claims:
online or by mail
Virtual visits, also known as _________, are one way you can connect with a health care provider using your computer, tablet or smartphone.
Telehealth
What document does UnitedHealthcare provide to help members understand changes to their plan for the upcoming year?
ANOC
Should Advocates transfer dental appeal calls to the dental department?
No, advocates should handle the call
What was the issue with the Fitbit “Shop and Save” link?
The storefront was not loading
Starting Jan. 1, 2026, only members with a qualifying chronic condition (about 95%) can use UCard® credits for healthy food and approved utilities. True or False?
True
The HouseCalls incentive for Optum At Home/UHC At Home members has changed. In which state is it specifically?
Oklahoma
What are the dates for the Annual Enrollment Period (AEP)?
October 15 to December 7
What healthcare professional is a registered nurse with advanced education and training, allowing them to diagnose and treat illnesses?
Nurse Practitioner
If the Fitbit storefront still doesn’t load, what should the member do?
Refresh the page or re-access the discounts page from the dashboard.
When will the Maestro ANOC Changes intent become available to assist with ANOC inquiries?
Sept 1, 2025
When will the member's EOC, Formulary, and Directory be available online?
Beginning Oct 1 - Oct 15.
When does the ANOCs expect to be in a member's home?
Sept 30, 2025
Starting Jan. 1, 2025, only members with a qualifying chronic condition (about 95%) can use UCard® credits for healthy food and approved utilities. True or False
False
Which part of the body produces insulin?
Pancreas
Give at least 1 medication that have been removed from the formularies effective September 1, 2025?
Prolia, Xgeva, and Promacta
Will the member's Evidence of Coverage (EOC) be mailed this year?
No, member’s will not receive a hard copy of their EOC.
How does a member enroll in the same plan for next year?
Advise the caller:
Why should Advocates not transfer dental appeal calls to the dental department?
Dental does not have access to appeal status information
How do member refill their home delivery prescription?
Transfer to Optum Home Delivery
Why does UnitedHealthcare request medical records?
Effective July 1, 2015 UnitedHealthcare updated the Clinic Information Submission Protocol (which outlines medical record requirements) requiring providers to include lab results with related claims. This particular medical record requirement is part of a phased approach to ensure our members have access to quality care at an affordable price.
What is the role of white blood cells?
Fight infections
What is the primary function of red blood cells?
Transport oxygen
When setting up a schedule commitment, what needs to be provided to the member/authorized party?
The I-case number needs to be provided to the caller when setting up a commitment