Systems
The system in which we can order an ID card for a member.
COWA
True or False: If the birth parent of a newborn was assigned to Health Share of Oregon at the time of labor and delivery, the newborn is enrolled with Health Share of Oregon effective their date of birth to the same plans the birth parent was on at the time of labor and delivery.
True
True or False: An adult member can provide verbal authorization to another adult caller.
True
HSO stands for.
Health Share of Oregon
CCO stands for this.
Coordinated Care Organization
The system in which we document all of our calls.
CIM
The number of Behavioral Health plans available to HSO members.
One
True of False: We can discuss mental health appointments with a parent of a 16 year old without verbal authorization.
False
OHP stands for
Oregon Health Plan
Medicaid covers these three things.
Physical (Medical), Oral (Dental), Behavioral Health
The system in which we can adjust the effective date.
COWA
Name two Dental Plans available to HSO members.
Advantage, CareOregon, Kaiser, ODS (Oregon Dental Service), Willamette
The number of pieces of information we must verify before disclosing PHI.
Three
PHI stands for
Personal Health Information
The primary payer between Medicare and Medicaid.
Medicare.
The system in which we can find the Branch ID and phone number.
MMIS
Name three Physical (medical) Health Plans available to HSO members.
CareOregon, Legacy Health PacificSource, OHSU Health, Providence Health Assurance Plan, Kaiser
List four pieces of information that we can use to verify HIPAA.
Full name, DOB, Address, Member ID, Last 4 digits of SSN
HRS stands for.
Health Related Services
The tab in CIM that shows the Case ID.
Member Data
The system in which we select a disposition.
Max (phone system)
The plan type when a member has only dental coverage.
CCOF
The name of the document a member can complete to give authorization to a third party caller.
ROI - Release of Information
NEMT stands for.
Non-Emergent Medical Transportation
The three counties HSO covers.
Clackamas, Multnomah and Washington.