WorksheetsCentral New Hire
Total questions: 17
Worksheet time: 9mins
What are the two types of Appeals?
Dental and Vision
Administrative and Clinical Appeal
Administrative Appeal / Claims Appeal
Clinical and Central
Use for Anthem CDHP for members.
WCA
WCF
CBS
CIRS
Use to locate transfer phone numbers for members on different LOBs.
Clarity
Member 360
BDS
WCA
Use for investigating ITS claims or out of area claims.
Blue Squared
Check Inquiry
NIC
On Demand
Use for emulating the members on Anthem.com.
CAD Emulator
Help Emulator
Smart Help
Member Emulator
Use to access member eligibility, benefits, claims and you will use on every call.
Solution Central Production
Central System Production
Central Solution
HIPAA Tool
Use to check HIPAA Authorizations.
Member 360
HIPAA Tool
AIM
CIRS
Use to access actual pdf of ID card.
On Demand
BDS
Clarity
Smart Help
Use to verify, authenticate and protect a member's PHI.
On Demand
HIPAA Tool
Solution Central
NIC
Use to look up Pre Certification, Predetermination and Authorizations
Member 360
CIRS
EOC
CPSUI
Used for looking up benefits
COE
EOC
NIC
COB
Used to look up a member's incentives.
Verient
BlueSquared
NextGen
ChipRewards
Used to look up Grievance and Appeals for members.
ChipRewards
NextGen
Actwise (Alegus WCA)
Mainframe (WGS)
Used to put a member phone number on a do not call list.
AIM
Number Check List
CIRS
CPSUI
Used for only certain types of Authorizations.
AIM
Member 360
Solution Central
On Demands
Used to find EOBs and Authorization Letters etc.
Smart Help
On Demand
Clarity
WCF
What song is this a quote from?
“Every time I close my eyes, I thank the Lord that I’ve got you. And you’ve got me too.”
John Legend, “Made To Love”
Daniel Caesar, “Best Part”
Babyface, “Every time I Close My Eyes”
Alicia Keys, “No One”
