Call Management
you show the caller that you understand their feelings
what is Empathy
what is No need to re register online
Aep Enrollment dates
oct 7-dec 15
Billing and Premium
Medops_ Billing and payment inquiry
Deductible
$545
a call that has quick, transactional, or has a sense of urgency
What is Simple call
what is registering for online portal
how do we find a member application
Application & Enrollment tab member 360, MAM
“Thank you for calling Blue Shield of California, my name is
Call Management
cost while in Coverage gap/ Donut hole
25% of medication ingredient cost
A communication skill that involves going beyond simply hearing the words that another person speaks but also seeking to understand the meaning and intent behind them
what is active listening
Appeal and Grievance Forms
Claim Forms
Continuity of Care Forms
What is member forms found online
Oe Enrollment
Jan 1st to March 31st
Member needs to be reimbursed for rx
Direct Member Reiumbursments
what is our pharmacy system
Cos
May I ask you a few questions and verify some information so we can determine the best options?
What is Verifying PHI
Member needs help navigating there online account
What is spoofing
GMAPD Enrollment dates
employer/union group sponsored enrollments in GMAPD/GPDP or individual plans may have different annual open enrollment periods.
DOFR
Financial Responsibility
what dlp do we locate claim summary request
medops_pharmacy and escalations
It has been my pleasure assisting you today. At Blue Shield of California (BSC), we care for our members and want to make it easy for you to access care. Can I help you with any other issues, such as scheduling an appointment or obtaining services such as medications, referrals, or authorizations?
what is Access to Care Survey
where can we locate eobs in online portal
claims tab
when can members start applying for medicare advantage
3 months before
Adress Update
Update member profile inquiry
what dlp shows us how to navigate cos
Medops_understanding Cos