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Healthnow 4

Authored by Theresa Fazzolari

Professional Development

Used 2+ times

Healthnow 4
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10 questions

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1.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

2.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

Benefit Question

Med Adv Griev/Complaint

Claim

Med Adv Org Determination

3.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

True

False

4.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

Pharmacy

COB/OPL

UM

TechZone

5.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

bg-cc02

gp-cc05

bg-cc01

bg-cc05

6.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

7.

MULTIPLE CHOICE QUESTION

3 mins • 1 pt

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

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