Verified
You need at least three of these to verify a member's identity.
What is PHI?
This can be added to the member's profile if the member has authorized a 3rd party caller to speak on their behalf.
What is an "Alternate Contact"?
This is the number one goal for an MEA when receiving a hearing call.
What is "schedule a hearing test"
These are grey pins on the map in CRM.
What is "Provider's Office"
These blue and red flags on the map are to indicate what?
What is a "Preferred Provider"?
The member representative is ONLY able to do this on behalf of a member if they are not listed as an alternate contact
What is schedule a hearing appointment?
This is the appropriate call disposition for a hearing call that resulted in a HT being scheduled by the member.
What is 'HA - Member - Hearing Test Scheduled"
This is when you should make a recommendation on hearing aids.
What is "never"? We are only here to inform the member.
This is the most common battery size.
What is "312"
A type of provider for member's that do not have a means of transportation.
What is "A Mobile Unit"?
If a member calls in to pay for their hearing aids, we should...
These are the three types of Hearing aid Plans.
What are "Funded, Discount, and Co-Pay" plans?
What two financing companies do we work with when a member needs financial assistance?
What is "All Well and CareCredit"?
This is the delivery timeframe for batteries.
What is "2 days via Fedex or UPS"?
This is where I would find a description of the different levels of technology.
What is" Step 3 of the Call Flow"
This Health plan requires you to speak to the member for verbal authorization for each request or have an AOR on file.
What is "CCOK - Community Care of Oklahoma"?
This is the tab, on the home screen of the CRM, that will lead you to more information on hearing aids ordered.
What is "Order History"?
We request the name of the HCP from the Provider's office for these 2 reasons.
What is "schedule the appointment in the CRM and inform the member"?
What is "5"
This plan requires a pre-service authorization form before a HT may be schedule.
What is "Central Health"?
If the member representative is not listed in the Alternate Contact tab, this Health Plan requires verbal consent from the member or Health Plan directly.
What is "Central Health"?
What are the three factors to consider when a member is requesting to submit a Lost, Stolen, or Damaged claim?
What is "Purchase date, deductible, and if the HA were purchased through NationsHearing"
This should be read if any part of the member's benefits are discussed.
What is "benefit disclaimer"?
What are the big 9 hearing aid manufacturers?
What is "Phonak, Starkey, Beltone, Resound, Unitron, Signia, Widex, Oticon, Rexton"?
These three documents are needed in order to submit an OON claim.
What is "Proof of Payment, Proof of Delivery, and Audiogram"?