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INFP Reason Codes

Total questions: 14

Worksheet time: 1hrs 10mins

Name
Class
Date
1.

Which of the following would you use for an Optum Escalated Issue?

a)

OP!!

b)

OPSP

c)

OPOR

d)

OPML

2.

Which of the following would you use for billing related inquiry?

a)

PY1

b)

BL1

c)

PYC

d)

IVRT

3.

Which of the following would you use if you received approval from management to assist the member with making their payment in the IVR?

a)

IVRT

b)

PY1

c)

PYC

d)

BL1

4.

Which of the following would you use if a private member wanted to update their address?

a)

STHPQ

b)

MN1

c)

CV4

d)

A4P

5.

Which of the following would you use if a member called to inquire about COVID-19 benefits?

a)

CV4

b)

CL4

c)

COVID

d)

COV19

6.

Which of the following would you use for IVR Questions or Complaints?

a)

IVRT

b)

BL1

c)

PYC

7.

Which of the following would you use for a claim inquiry?

a)

STHC

b)

CV4

c)

CL4

d)

CL3

8.

Which of the following would you use when a member is asking about a medication that requires a prior authorization?

a)

CDL

b)

CV4

c)

OPPA

9.

Which of the following would you use if a member inquired about their medical preauthorization status?

a)

PRE1

b)

PRE2

c)

OPPA

d)

CL4

10.

What INFP reason code would you use for a member calling to obtain their tax form?

(a)  

11.

Which code describes Inconsistency Questions to Include APTC Changes or Citizenship Status?

(a)  

12.

Which code would you use if a member has a general question about their prescription coverage?

a)

CDL

b)

OPRX

c)

CV4

d)

CL4

13.

Which code would for a member calling to request a new member ID card?

a)

FM4

b)

FM2

14.

Which code would you use for a member requesting cancellation of a private policy?

a)

CENP

b)

MN2

c)

TERMP