
Enrollment & Billing
Flashcard
•
Other
•
5th Grade
•
Hard
Wayground Content
FREE Resource
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9 questions
Show all answers
1.
FLASHCARD QUESTION
Front
If an enrollee or subscriber who believes their plan contract, enrollment or subscription has been or will be improperly canceled, rescinded, or not renewed, can you request reinstatement pursuant to Section 1368 of AB2470?
Back
True
2.
FLASHCARD QUESTION
Front
What does DMHC stand for?
Back
Department of Managed HealthCare
3.
FLASHCARD QUESTION
Front
How long does Anthem have to address a member's request to avoid a penalty?
Back
72 Hours
4.
FLASHCARD QUESTION
Front
An AB2470 request is what type of appeal?
Back
Expedited Grievance & Appeal
5.
FLASHCARD QUESTION
Front
In order for an "authorized representative" to submit an AB2470 request a Verbal Authorization is required.
Back
True
6.
FLASHCARD QUESTION
Front
Where do you request an AB2470 review?
Back
T-CA LG AB2470 / CA AB2470 Assist POD
7.
FLASHCARD QUESTION
Front
Where can a member's enrollment status be verified?
Back
Member Composite Screen
8.
FLASHCARD QUESTION
Front
What must be read to the member?
Back
Verbal Script
9.
FLASHCARD QUESTION
Front
Once approved for reinstatement, you have called your member to assist with a payment what is the correct way to document this contact? Options: create a research task, assist with payment, route back to E&B, create a research task, assist with payment, route back to E&B, log as a repeat contact, create a live call, assist with the payment and route to E&B, create a live call, assist with the payment and post back to AB2470 chat, route to E&B, create a research task, assist with payment, route back to E&B, log as a repeat contact
Back
create a live call, assist with the payment and post back to AB2470 chat, route to E&B
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