Security & Protocols
Per the Clean Desk Policy, you should do this with your computer before stepping away.
What is lock it?
In The Well, you must click this button to get notifications on updates to a contribution.
What is Follow?
If a claim number reads like this, 12345W1234567, with a W in the middle, it means that the claim is this type of claim.
What is a web portal claim submission?
Gainwell Workspaces provides information on authorizations, financial transactions, and these.
What are claims?
Also accepted: Eligibility & Finance
This is the smallest country in the world by land area.
What is Vatican City?
This is the best method to use in Teams to send a quick, direct message to a coworker.
What is chat?
This is the process by which an insurer reviews and processes a claim.
What is adjudication?
When considering VUE360 Workflow Manager and comparing it to a filing cabinet and its contents, the Work Object is considered to be this.
What is the folder?
This is the Aux code you should use in CXOne for your 30-minute meal.
What is Lunch_Dinner?
This country is known as the Land of the Rising Sun.
What is Japan?
This is data that can be used to identify an individual either directly or when combined with other information.
What is Personally Identifiable Information (PII)?
The double boxes next to a link in VUE360 allow you to do this.
What is open up a link into its own window?
Claims sent this way have an error rate of 15-25% and require manual intervention.
What are paper claims?
This causes a Gap Period for a DC Medicaid Beneficiary.
What is a delay in MCO enrollment?
This is the longest river in the world.
What is The Nile?
CEF stands for this, as it applies to the solution supplied by Gainwell.
What is Claims, Encounters, & Financials?
These are the Three P's of Healthcare.
What are Payer, Provider, and Patient?
This process in VUE360 Workflow Manager fills many needs, such as attaching supporting documents to primary work objects and managing routing of work objects in groups.
What is the Rendezvous Process?
An example of this would be receiving a call and immediately transferring the call because you don't know where to find the information.
What is Call Avoidance?
This European capital , divided by the Bosphorus Strait, is the only city in the world to span two continents.
What is Istanbul?
A CSR for Provider Services would handle these three things from the list below:
-Billing inquiries
-Resolution with the provider
-Tickets in Gainwell Now
-Send complex cases to other teams
-Technology issues such as X12 transactions and web portal
What are:
Billing inquiries (such as denied claims and beneficiary eligibility)
Resolution with the provider (once specialty teams have completed the case)
Forwards complex cases (to Claims Resolution, Mailroom, or Finance Team)
This type of search in the Member tile in VUE360 allows you to search for a DC Medicaid beneficiary with an active lock-in.
What is an advanced search?
Provider enrollment activities for the District are completed by this vendor.
Who is Maximus?
If a provider wants to update their mailing address, they can do it by contacting this group.
This is the largest desert in the world.
What is the Antarctic Desert?