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Crossword Puzzle

Across
Where member and providers can find detailed information without calling into member services.
What department resolves member and provider concerns?
What does the Acronym QL mean.
The department that processes claims and resolve claims issues that providers may have.
The best choice for a MCO in the state of Illinois?
Where does a member call to update their permanent address or to find out why they are to eligible.
The first time members complete this they get a $10 reward
A specialized model of care designed o improve the existing system of care for current and former DCFS youth.
System used to document calls for both members and providers.
Acronym for protected health information.
What department's phone number is 800-460-8988.
A source used to verify the authenticity of a provider that is not showing up in our company systems.
System used to review member eligibility, prior authorizations, and Care Gaps.
Down
What is DME?
Drugs that have the same active ingredient and work the same as brand name drugs.
The source of "truth" for provider information.
What is the acronym for Health Insurance Portability and Accountability Act?
The system used to check member eligibility.
The workbasket to send a PC Update when the provider has a closed panel.
Web browser Omni should be opened in.
The tool where you can find Illinicare's guidelines, work processes, and procedures.
Role in the foster care program that focuses on healthcare benefits, medical issues, pharmacy implications, and how to maintain connection with health plan.
Portal used to get my reward balances, request new cards, change status of card.
What is the name of our Medicare Advantage plan?
The intent used to mail out an ID card.
Approve's CT's and MRI's