Across
- 5. Peer mentorship program
- 6. Document on file when only one legal guardian is on file
- 7. Facets routing group to route a grievance to
- 9. Medical eye doctor
- 10. Email address to Send tech grids to
- 15. Where can you guide members and providers for self-service tools
- 16. Monthly recognition program for SQM
- 19. Facets routing for Audit related claims
- 21. A period of time after joining a new health plan where previously established doctors/services are covered or honored
- 22. HFZ stands for
- 23. Word we say instead of "transfer"
- 24. ENT is another word for
- 26. Providers must use the IVR or Provider portal for…
- 27. WE GOT YOUR BACK SO YOU DON'T HAVE TO....
- 28. A PT-1 form is available through Mass Health for what service?
- 29. Network Row that signifies that a PCP accepts the East Boston Neighborhood Health Alliance ACO
- 31. MassHealth needs to renew coverage for all members to make sure they are still eligible and receive the best benefit they qualify for. This yearly process is called ______
Down
- 1. The new PCP Network ID now available only for the QHP Silver A, AII, or B, and ConnectorCare I, II, and III Plan members
- 2. MCO stands for...
- 3. Who can you transfer escalations to?
- 4. Who sends proof of coverage letters for MassHealth members?
- 8. Name of NH Medicare product
- 11. A specified amount of money that the member must pay before an insurance company will pay a claim
- 12. Acronym for First Contact Resolution
- 13. Senior Care Options
- 14. Where can you find a member's Care Manager?
- 17. If you are experiencing tech issues but still can take calls, where are you submitting a ticket?
- 18. Which department can provide PT1 assistance?
- 20. Doctor who specializes in women’s health
- 22. SharePoint resource used to confirm verification process
- 25. Call strategy we use to make sure caller understands resolution
- 30. How often is a routine eye exam covered for adults