WorksheetsTier 1 Day 4 and 5
Total questions: 18
Worksheet time: 9mins
ACA was mandated on ______________________________
Jan 1, 2010
June 4, 2010
Jan 1, 2014
Jan 3, 2014
WHat system can you use to check for Consumer Driven Health Plan (CDHP) EOB's?
Wellpoint Content Workframe
On Demand/WEBI
BDS
All of the above
What is Solution Central ?
Interaction Manager
Database Interface
Communication Center
All of the above
What are the two types of Public Exchanges?
Marketplace and individual
State and Federal
Individual and Small Business
I have no clue
What are the four Metal Level plans?
Diamond, Platinum, Gold, Silver, Bronze
Platinum, Gold, Silver, Bronze
Gold, Silver, Bronze, Aluminum
Platinum, Gold, Silver
Mainframe (ISG) feeds information to __________
Solution Central
BDS
BPM
ALl of the above
Which system(s) can we refer to view an ID card?
Clarity
Mainframe (ISG) and Clarity
Solution Central
Mainframe and Solution Central
Which of the following are Inquires (Tasks) in Solution Central?
Enrollment, Billing, Benefits, Provider Services
Enrollment, Notes, Benefits, claims
Enrollment, Billing, Benefits, Claims
Enrollment, Mailings, Benefits, Claims
What years constitutes a plan Grandmothered Plans?
2004-2010
2010-2012
Before 2010
2010-2014
A plan that is mixed between HMO and PPO, and offered in California is known as________________
HMO
PPO
PPI
POS
When searching for a previous interaction in Solution Central, we are searching for ________________________________
A-XXXXXXX
S-XXXXXXX
I-XXXXXXX
P-XXXXXX
Where can a consumer go to shop the exchange?
Online or through a broker
Anthem.com or publicexchange.com
Anthem.com or ACA.com
wheremyinsurance.com
Which System(s) can we find application?
MAPD
MAPS and WIM
MAPS and WEM
WEM and Solution Central
If we cannot find a member in the system, how do we record/notate the call?
Other actions- Guest
In a sticky note for future use
Other actions-Guest Contact
in Mainframe
Who can be a dependent
Spouse
All of these
Child
Ex-Wife
A newborn may display with a code of ___________ in relation to claim processing
A0
000
A12
00
EAP stands for _______________________________________
Employment Assistant Program
Employee Asst with Pharmacy
Eating Apple Pie
Employee Assistant Program
What system(s) do you use on EVERY call?
A. Solution Central
B. HIPAA
C. Both A & B
D. Mainframe
