Training Review

What does PCP stand for ?

• Primary Care Physician

• Personal Care Provider

• Provider Care Provider

• Probably Couldnt Pay

what does HHW stand for?

• Hoosier helping willing

• Human Handling Wealth

• How hangry welcomes

• Hoosier Health Wise

What is the age for the HIP?

• 0-18

• 18-65

• 64+

• 19-64

where do you look to file a complaint?

• Member Demographic

• Auth/Benefits

• Complaint/Grievance

• FSSA

How long does Anthem has to respond to complaint?

• 10 days

• 7 days

• 30 days

• 60 days

How will a member receive correspondence about their complaint?

• email

• phone call

• mail

• they wont

What KM document do you use to find more information about Complaints?

• Appeals - Medicaid

• Complaints and Grievances - Mediciad

• Unhappy Members - Medicaid

• We dont file complaints

How long does a member have to file a complaint?

• 30 days

• 7 days

• 90 days

• 60 days

How can a member file a complaint? SELECT ALL THAT APPLY

• orally

• in writing

• online by completing a complaint form

• only orally

What kind of complaint do we file for a member who is wanting to dis enroll outside of the 30 days or outside of open enrollment ?

• complaint

• Dis enrollment complaint

• Just Cause Grievance

• Bye bye complaint