SC REVIEW 2.0

SC REVIEW 2.0

Professional Development

5 Qs

quiz-placeholder

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SC REVIEW 2.0

SC REVIEW 2.0

Assessment

Quiz

Specialty

Professional Development

Practice Problem

Hard

Created by

Fatima De La Cerna

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5 questions

Show all answers

1.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Media Image

When Completing a pre-certification search, there are several fields you can search by under Additional Options. Which option gives you a description of a disease or illness?

Provider Specialty

Diagnosis Code

Benefit

Physician and Medical Service

2.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Media Image

A provider calls on behalf of the member that wants to file a Grievance and Appeals. What information would you share?

Nothing

Submit grievance and appeal for member

Submit grievance and or appeals in writing.

Transfer to Grievance and Appeals CSR

3.

MULTIPLE CHOICE QUESTION

1 min • 1 pt

You are ready to begin working on service requests. By clicking this, you will get the oldest and most urgent items first.

Refresh

My Worklist

My Recent Workbasket

Get Most Urgent

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

A provider indicates that she is also waiting for someone to call her back regarding another issue. Where can you view other promised actions for this provider?

View the Interaction tab of the composite screen

View the My worklist

Click Get Most Urgent

5.

MULTIPLE SELECT QUESTION

1 min • 1 pt

Which of the following Search Inventory types can you search for? (Select all that apply)

Interactions

Other Actions

Inquiry Tracking

Service Requests

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