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United Health Group

Knowledge Central
Across
A preferred provider organization allows plan participants freedom to choose the doctors and hospitals they want to visit.
an organization that provides health care to people who make regular payments to it and who agree to use the doctors, hospitals, etc
are calls received that should have been routed to another department.
Registered Nurses that provide support for a variety of member clinical questions
The process of determining whether someone is, in fact, who they declare themselves to be and they are authorized to access member information
is general information not specific to a single member, but specific to the plan and is available to anyone
program will provide case management and focused education to a very targeted at-risk diabetic population.
Member Interaction and Issue Management
phone number is available to all hearing impaired callers
A person appointed/certified by a court to administer a deceased person's estate
Defines the name of the option that can be chosen in the Actions area of a Harness
Down
Intelligent Redirect feature to facilitate call transfers, conference calls
allows the holder to act for the member in making financial and/or health care decisions as designated in the POA document
provide health care and benefits for people who have both Medicare and Medicaid.
If an Advocate receives a call from a member, but is unable to hear the caller
The term used to describe the contact between User and Customer
Health Insurance Portability and Accountability Act
Equivalent to the login user name in software applications
Medicare Advantage Prescription Drug
located under one of the Categories
Special Needs Plans