Flex
Policy & Procedure
QA
Miscellaneous
The Now
100

These are the 3 ways a member can submit for reimbursement

What is mail, email and online portal

100

Being absent and not calling out will list you as this and give you how many points 

What is NCNS (No Call No Show) and 4 points

100
How long do you have to answer a call before it impacts your QA?

What is 6 seconds

100

To receive grocery benefits some members have to qualify for this

What is SSBCI (Supplemental Benefit of for the Chronically ill)

100

Molina members used to be able to pay this in 2025, but no longer can in 2026

What is Home/Cell Phone/ Internet/Cable

200

If member calls to check card status for replacement where do you track the card ?

What is CRM under flex non monetary tab

200

This verification process must be done on every call

What is PHI

200

This action is required before assisting the member with the reason of the call

What is Restate

200

This process is required for a refund or reshipment of an otc order

What is Email clear, visual confirmation of the damaged item(s) to transitdamage@nationsbenefits.com within 5 days of submitting your claim

200

What options do FL Blue members have use Rewards?

What is  OTC – retail only
           GROC – retail only
              DV – retail only

300

What code comes up in the transaction history when the card declines and no purse exists

What is invalid Account
300

These two rules can not be broken and are fully in your control

What is Dress Code and Phone Usage 

300

These two things must be stated after placing an order

What is order number and shipping via Fedex or UPS within the next 2 days

300

This phrase is stated when placing an order

What is

This product list is subject to change. Items, quantities, sizes, and values may change depending on availability. If a product is unavailable or not in stock, it may be substituted for a similar product at no additional charge. Some items may vary depending on manufacturer. 

300

What are the plans that are affected by the new IVR?

What is  Jefferson Health Plans, CDPHP Advantage, Central Health Plans, Ultimate Health Plans

400

How long will a Elevance member have to wait for a new card?

What is 21 days from issue date

400

If you take uber / lyft to work what area should you be dropped off in ?

 What is The north side of building?

400

This 2 part question is required on every call and frequently missed

What is Restate and Offer Additional Assistance 

400

 What benefits are included in Elevance plan H4909-014-00?

What is No standard benefits included member can make EE pick for either Assistive devices or DVH

400

Name 1 of the 3 plans that we cannot change address for orders or cards?

 What is Wellmark, Next Blue of North Dakota, and Vermont Blue Advantage

500

How can Sentara Medicare 2026 member use Rewards from flex card ?

What is "Can be used for almost any purchase there are no restrictions except cannot be used for cash back or to purchase alcohol, tobacco, lottery, or firearms."

 

500

What is a onweway to violate PHI when you are not on a call?

What is writing PHI down

500
List the 3 services failures that give you an automatic zero on QA

What is HIPAA Compliance (PHI), Documenting with Note, and Monitoring disclosure (when appropriate) 

500

What is NextBlue of North Dakota 3rd party process

What is Do not reject third party communication/ordering by third-party representative.

500

What hp requires you to brand the call in the closing ?

Commonwealth Care Alliance

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