Random Questions
WorkBook and Quick Reference Guide
HIPAA and Types of Callers
Filing a Claim
Claim navigation
100

Authorization of PR , Medical Record, DD form if they dont want a paper check  

Things needed to have the claim assigned  

100

Where do you go to see if we can file a claim for a caller over the phone?

What is CSS Workbook  

100

What pieces of information do you need to verify every call

What is First /Last name / DOB  / and phone number  

100

Where in OnBase would you go to file a telephonic supp health claim?

 What is telephonic Intake tab

100

Does the EE need an APR on file to get information regarding their dependent under 18’s claim?

 What is yes  

200

A white banner  in onbase 

what is Claims in intake  

200

Who is the ER for ER ID 309356?

Who is Phibro Animal Health Corp(TERM 12/31/25)

200

Who can file a claim for a claimant?

What is Anybody  

200

What two ways can a non-telephonic claimant file?

What are paper forms and MYuhcfp.com 

200

If a claimant needs to update their last name on  on their claim, Are you able to do this and what should you do ?   

What is no  and document on the account in your TPC note, 

300

What JA would you tell you how to file a Flex work Claim ?  

What is  How To File A Supplemental Health Claim – Job Aid

300

What email address would you send a paper form request to?

What is 

uhcsb-me_cs_requests@uhc.com

300

What would need to be on file for you to speak to a caller in full about a claimant’s claim?

 What is the Authorization of Personal Representative  

300

What determines if a hospital admission will be part of the same HIPP claim or must be filed separately?

What is if they were admitted within 90 days 

300

How long does a CS have to complete their initial review of a supp health claim

What is 6 business days 

400

What JA would provide the standard call greeting and closing greeting 

What is 

FP Member Services Guide


KM2033000

400

What is the website that members can go to for their claim?

What is MyUHCFP>COM 

400

What can we ask for if a caller does not want to provide their SSN?

What is there first and last name and DOB 

400

If an ER has Wellness for APP, CIPP, and HIPP, and you have a caller who is filing a wellness claim. Would you file a claim for each product

 What is yes they would file all the claims 

400

What are the three ways a claimant can set up DD?

 What is by paper form, the portal , or call it in on phone 

500

If the claim is in “Claims with File Plan”: what JA would you use to see what the color of the banner means? 

What is  

Member Advocate Claim Navigation


KM2046600

500

When reaching out to a CS offshore for  Kartick Adak whom would you reach out to  ?

 Who is Hope King

500

Who can we give medical information to?

What is the claimant and Authorized Personal Representative  

500

What would you need to do if you need to add or change information to a supp health claim that you have already submitted?

What is email  uhcsb-me_intake_support@uhc.com

500

Where can you check for additional claims for a claimant?

What is LD Claims  documents and form 

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