GMS: Wk2_Day5_AM Review

Members need to complete the ​ (a)   for us to send their health information to an alternate address, or if they need increased protection for their ​ (b)   .

• Confidential Communication Request
• PII
• SPI
• My Dashboard Request

Where in ACE will you locate the transrouting phone number?

When a caller is IVR authenticated, you start on the (a)   in ​ (b)   .

• Member Holistic Dashboard
• ACE
• Child Case
• Claims GUI
• Member Inquiry
• Communication Preferences card
• Claim Details card

A spouse needs to verify the effective date of the policy for a dependent child under age 18. The spouse is not on the policy, and there are no legal documents to release PHI/PII. Can we assist her?

• Yes, this is considered minimum necessary information

• No, this is not considered minimum necessary information

A custodial parent with no legal documents on file wants to know what the dependent child had for medical services on July 17th. Can you explain it to her?

• Yes, this is a minimum necessary diagnosis and procedure and can be released

• No, diagnosis and procedures are not minimum necessary information and cannot be released