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WorksheetsQuoting Medical Benefit
Total questions: 10
Worksheet time: 8mins
What intent should you used when Quoting Medical Benefits?
Send Informative Email
Review Medical Claims History
Review Medical Benefits
Medicaid Coverage
What job aid should be use when handling Dental Concerns?
Benefit inquiries
Quoting Benefits Decision Tree
HIPAA
Dental Coverage
What job aid are we going to use when handling Vision concerns?
Dental Coverage
Vision Coverage
Benefit inquiries
HIPAA
Sometime you may not initally understand the reason the member is calling and therefore its important to ask clarifying questions. What it is that you need in order to determine the exact reason of the call?
Open Ended Question
Closed Ended Question
Probing Questions
Sample questions
What do we call the tool we used in determining copayments or coinsurance and additional information of the benefits of the member?
Rally
iBAAG
UES
Qualtrics
Use the MID: 900990425 for the following numbers.
Is the member covered for any Out of network Benefits?
YES
NO
Member is calling verifying how much is her copayment for her Primary Care Visit. What is the correct copayment of the member?
$50.00
$5.00
$0.00
$3.00
What is the meaning of iBAAG?
Internet Benefits at a Gap
Intranet Benefits at a Glance
Internet Benefits at a Gross
Intranet Benefits at a Glips
Does the member needs a referral to see a Specialist?
YES
NO
What's the Contract Segment PBP number of the plan?
H5253-062-000
H5253-063-000
H3553-062-000
H5223-062-000
