Day 2

Choose one or more scope for a level 2 representative?

• Research a member eligibility.

• Billing research for missing payments.

• Enrolling member to AWD.

• Applying UPC.

Command to check "Check Detail Inquiry"

• AB EA AE

• BA DA AA

• BA AA DM

• BA EA AE

Tool to use to request Refund Check Reissue.

• Ventanex

• Mainframe

• Exela

• Check Inquiry

Reasons why payment may show under UPC? Choose one or more.

• HCID/cert number is not referrenced on the payment.

• Money is in Ventanex.

• Member moved to a new address.

• Money received does not match the outstanding receivable.

Where do we route a request if payment in UPC is more than 5 days and was not automatically refunded?

• Enrollment

• Tier 2

• Billing

• Marketplace

what account number do we use if confirmation number is from APT or AWD?

• R00

• A

What command do you use to FINALIZE a payment from UPC?

• F9

• F7

• F10

• F8

What tools can you use to research for a refund?

• Ventanex.

• Check Inquiry.

• Mainframe.

• Trancentra.

What Client ID do we use for Ventanex?

• 216

• 136

• 316

• 261

Can we initiate manual checks to the member?

• Yes

• No