AUTHENTICATION CONSENT POA

Member

100

Number of identifiers needed besides full name needed to validate identity

What is 3?

200

Relationship able to be verified on shared plan of minor

What is a parent/Gaurdian

300

Can be given by member but never asked for when using to authenticate

What is social security number?

400

Information required to authenticate member on outbound call when talking to member

What is member's DOB

500

Where I can find HIPAA privacy information

What is HIPAA overview mentor document?

consent or POA

100

page used to access consent form

What is Hi page?

200

2 types of documents that can be on a member's file to authenticate

What is consent and POA?

300

What is link to order consent form?

What is OMS-Medicare Advantage, PDP, ANOC, EOC?

400

Ways member can send in consent form

what is email, fax, or postal mail?

500

If associate cannot authenticate the authority of the caller what may not be released.

personal health information

w/o consent or POA

100

type of consent that can be acquired if member available to speak to

what is verbal consent?

200

3 identifiers needed to discuss PHI about member without consent/POA on file

What are

• Member Identification Number
• Social Security Number

  Note: Cannot ask for Social Security Number, but it is acceptable to use if it is given during the call

• Medicare Identification Number
• Member Address (street or house number)
• Member Date of Birth
• Member Zip Code
• Member group name, group number

300

type of consent that can be acquired if member is unavailable to speak to

What is implied consent?

400

2 pieces of information necessary to discuss prescription details with caller lacking consent

What are 

• Name of medication
• Strength of medication
• Rx Number
• Order Number
• Date of Fill
• Prescribing provider

provider/pharmacy

100

Information required from provider/pharmacy prior to releasing PHI

What is NPI/DEA?

300

Name 2 Member identifiers needed from provider inbound call

What is

• Member Identification Number
• Social Security Number

  Note: Cannot ask for Social Security Number, but it is acceptable to use if it is given during the call

• Medicare Identification Number
• Member Address (street or house number)
• Member Date of Birth
• Member Zip Code
• Member group name, group number

500

For Med Impact Direct (MID),what must be provided prior to releasing Personal Health Information

What is Tax ID Number?

transfers

100

the color displayed when a caller is authenticated in IVR

What is green?

200

question needed to ask when answering internal transferred call

Has the caller been fully authenticated and verified?

500

If associate is not located during the directory search, is acceptable to document.......

What is name of the associate and the company they support?