QNXT
Tab where you are able to view the member's enrollments.
What is Eligibility Tab?
Professional and welcoming way to answer the phone.
What is good tone?
The way calls are documented through Salesforce.
What is Cases?
Recommended browser to navigate our company website?
What is Google Chrome?
We are able to speak to an underage Member's mom about a claim, even though she is not listed as a guardian.
What is False?
Tab where you are able to view member's demographic information.
Establishing a connection with the Member, by asking probing questions and making the call personable.
What is Building Rapport?
We create these when Member mentions multiple issues in one call.
What is Mini Cases?
Tab where we are able to view our Provider Directory.
What is Find a Doctor?
We are able to speak to underage Member's mom about a claim, when Mom is policy's main Subscriber.
What is True?
Tab in QNXT that houses Authorizations.
What is UM Documents Tab?
Using positive words and phrases to communicate a positive and supportive tone.
What is Positive Language Positioning?
Notes about the Call are located here.
What is the Related Tab?
Authorization that allows Community Health Choice to use or disclose an individual’s health information to another party.
What is HIPAA Release Form?
The Eligibility Tab in QNXT will only display current year's enrollment.
What is False?
Tab in QNXT where you can view doctor's information.
What is the Providers Tab?
The four personality types.
What is feeler, thinker, controller, and entertainer.
Tab where Authorization Information is stored.
What is the Care tab?
Tab user would click to conduct a Member Eligibility search.
What is For Providers?
(For Provider >> Provider Log In >> Member Eligibility)
What is False?
(General information can be provided)
In the Claims screen, you click this to view the Claim's eligible amount.
What is the Pay tab?
Ability to think clearly and rationally, understanding the logical connection between ideas.
What is Critical Thinking?
The name of the Call Type and Issue in Salesforce.
Place Member would click to log in to his/her personal portal?
What is My Account?
The only person responsible for submitting Authorizations and Claims is the Subscriber of the plan.
What is False?