WorksheetsINFP Reason Codes
Total questions: 14
Worksheet time: 1hrs 10mins
Which of the following would you use for an Optum Escalated Issue?
OP!!
OPSP
OPOR
OPML
Which of the following would you use for billing related inquiry?
PY1
BL1
PYC
IVRT
Which of the following would you use if you received approval from management to assist the member with making their payment in the IVR?
IVRT
PY1
PYC
BL1
Which of the following would you use if a private member wanted to update their address?
STHPQ
MN1
CV4
A4P
Which of the following would you use if a member called to inquire about COVID-19 benefits?
CV4
CL4
COVID
COV19
Which of the following would you use for IVR Questions or Complaints?
IVRT
BL1
PYC
Which of the following would you use for a claim inquiry?
STHC
CV4
CL4
CL3
Which of the following would you use when a member is asking about a medication that requires a prior authorization?
CDL
CV4
OPPA
Which of the following would you use if a member inquired about their medical preauthorization status?
PRE1
PRE2
OPPA
CL4
What INFP reason code would you use for a member calling to obtain their tax form?
(a)
Which code describes Inconsistency Questions to Include APTC Changes or Citizenship Status?
(a)
Which code would you use if a member has a general question about their prescription coverage?
CDL
OPRX
CV4
CL4
Which code would for a member calling to request a new member ID card?
FM4
FM2
Which code would you use for a member requesting cancellation of a private policy?
CENP
MN2
TERMP
