Healthnow 4

What's the subject if the member states the staff was rude?

• Med Adv Org Detemination

• Med Adv Griev/Complaint

• Quality Issue

• Referral or Pre Auth

What's the subject if the member states I need surgery?

• Benefit Question

• Med Adv Griev/Complaint

• Claim

• Med Adv Org Determination

If a grievance is resolved on the call the intake should be routed.

• True

• False

If a member calls with questions about Worker's Comp Or No Fault where should the call be sent?

• Pharmacy

• COB/OPL

• UM

• TechZone

Where should you route an intake for a cancelled check copy request?

• bg-cc02

• gp-cc05

• bg-cc01

• bg-cc05

What is the turn around time to get a HIPAA 2A added to the system once received ?

• 2-3 days

• 2 weeks

• 3-5 days

• 1 week

If a Medigap member calls and wants to make name changes you would create and inquiry and route it where?

• bg-cc02

• bg-cc05

• bg-mb01

• bg-mb02

What is the typical EyeMed discount for frames?

• 20%

• 50%

• 15%

• 40%

We warm transfer to Health Navigator.

• True

• False

What number would you provide for Silver Sneakers?

• 800-334-7591

• 800-294-8216

• 716-887-8452

• 888-423-4632