Tabs Buttons Contact Management Case Notes Resources
100
What is Contacts tab
Tab in which you find the Case Manager's history
100
What is Contact Management
Button that we use to document a call
100
What is No Answer
Contact name in the case that no one picked up and there was no voicemail option
100
What is Create a New Case Note that states Correction in the beginning
Process to follow if only the Case Notes on a Contact Management are incorrect
100
What is Contact List
Document that has all the CM Phone numbers
200
What is Demographics and Addresses tab
Tab in which you identify the R5
200
What is Member Alerts
Button that will inform us if the member is deceased
200
What is Health Risk Assessment
Selection under Reason for a HIX call
200
What is ME-Member Engagement
Case Note Type Selection
200
What is Emergent Needs Referral Grid
Document that will help you determine if the member may need an urgent referral
300
What is Plans/PCP/Physicians Tab
Tab in which you find the Member's PCP name
300
What is Screenings
Button used to locate the Health Risk Assessment
300
What is Religious?
Selection under Contact's Relationship to Member if you speak to their priest
300
What is Core Outbound Template
Template used every time a screening is completed or started
300
What is MEU Referral Grid
Document that can help you determine what queue the member needs to be placed in
400
What is COB Tab
Tab in which you clarify if the member has an insurance other than Wellcare
400
What is Case Notes
Button used when there is no outreach required or to do an addendum/correction
400
What is Letter
Selection Under Method if you were sending a UTC letter
400
What is Completed Declined Referral to CM
Documentation used if the member declines CM Referral
400
What is Core Outbound Case Note Master
Document that contains the premade documentation template for all calls and CareConnects
500
What is Programs Tab
Tab that is not used at all
500
What is Document Center
Button used to verify if you sent a UTC letter
500
What is ME-Provider
Selection under type if you were sending a UTC letter to the DSNP Member's PCP
500
What is Termed with Plan
Documentation used if no outreach is required due to the member not being on the plan anymore
500
What is UTC Letter Mailing Training Material
Document that spells out step by step how to send out a UTC letter






MEU/HIX Jeopardy

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