Abbreviations for Documentation

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Across
  1. 1. Direct mbr to Liberty Dental for dental claims
  2. 3. Rvw mbrs over the counter benefits
  3. 5. Rvw mbrs notice of denial of payment
  4. 6. HIPAA vrfd. Informal representative acting on mbrs best int
  5. 8. Informed mbr of the annual wellness visit gc
  6. 9. Adv mbr of the KY Medicaid TFN
  7. 12. Assist mbr w essential extra selection.
  8. 13. Rvw claim for date of service 1/2/24
  9. 14. Member c/I to locate a new PCP
  10. 16. Provided remaining OTC balance
  11. 19. Direct caller to health plan advisor for assistance w enrollment
  12. 22. Direct mbr to blue view vision for vision claim
  13. 23. Mbr c/I to req a Case Manager
  14. 24. Mbr c/I to rvw optional supplemental benefits package.
  15. 25. Direct mbr to hearing care solutions to start ref for hearing aids
  16. 27. Assist mbr w grievance. turanaround time frame 30 days
  17. 28. Rvw mbrs late enrollment penalty
  18. 29. Mbr called in to req EE
  19. 30. Submit ref for Personal emergency response system.
Down
  1. 2. Mbr was disenrolled from a dual special needs plan
  2. 3. Mbrs eye doctor is out of network
  3. 4. Reached out to Independent Physicians Association to rvw auth for DME
  4. 7. Mbr c/I to request for information regarding PERS
  5. 10. Mbr c/I to update permanent home address
  6. 11. Mbrs designated representative c/I to rvw claim for dos 10/25/2023
  7. 15. Submit workbasket for EOB by email
  8. 17. Rvw mbrs Nations account transactions
  9. 18. Rvw balance for flex dental, vision, & hearing
  10. 19. Direct mbr to hearing care solutions to start ref for hearing aids.
  11. 20. Informed member authorization is pending. TAT 14 days from initial req.
  12. 21. Mbr c/i to check current out of pocket maximum
  13. 22. Gave Best Buy Health TFN
  14. 26. Rvw continuity of care with new mbr for her OON provider.
  15. 28. Rvw mbrs low income subsidy lvl
  16. 30. Mbrs power of attorney c/I to change address