Knowledge Article Quiz

Before (cold) transferring the caller you must say,

What tool should you check if the has claim/eligibility system of Alliance?

• TPA List Facets

• TPA Alerts

• Ptrack

What tool should you check if the has claim/eligibility system of Payer?

• TPA List Facets/Ptrack

• TPA List

• S.A.L.T.

INN provider -- Nash Orthopedic Center called to get PT benefit done at the doctor's office, is MNR required after the 5th visit?

• YES

• NO

What is the passing rate for Balanced Quality?

• 95%

• 96%

• 97%

What is the passing rate for NPS (Net Promoter Score)?

• 42.6

• 46.2

• 46

What is the threshold for ATR?

• 5%

• 4%

• 3%

Give the 8 metrics you must pass to get certified.

Where should you transfer the caller if the account has active Healthcare ICMS and MEDSUP for medical inquiry?

• 800-962-2273

• 800-926-2273

• 866-459-1755

What is the timeframe for claims in DISPOSITION 8?

• 25 DAYS from the date of service

• 25 BUSINESS DAYS from the last processed date

• 25 BUSINESS DAYS from the last date of service