Authentication/Authorization
Who can I speak to
Six Protected Diagnosis
Animals
Your classmates
100
Who is responsible for completing the authentication process?
What is Customer Service advocates
100
Who should answer out of the area non-par claim status questions
What is local BCBS
100
What are the six protected Diagnoses.
What are Abortion, AIDS/HIV, Alcohol/Substance Abuse, Genetic Testing, Mental Health, & Sexually Transmitted Diseases.
100
What tropical lizard has the ability to change colors?
What is a CHAMELEON
100
Who in this class has on green pants
Who is Mr. Mark Derrick Miles JR
200
Member call authentication includes?
What is Callers on policy, and callers not on policy
200
If the caller is unable to provide the tax ID number, they must be able to provide all of the following additional items:
What is Address of provider / facility Member address
200
There is no age restriction on this protected diagnoses, so the term "minor" applies to all ages (even those younger than age 12).
What is Sexually Transmitted Diseases.
200
The fastest moving animal can move at 220 miles per hour (350 km/hr). What animal is it?
What is a BIRD - THE SWIFT
200
Who in this class likes to refer to themselves in the third person?
Who is Mr. Mark Derrick Miles Jr.
300
Who needs to be contacted in the event that a member under the age of 18 has a alternate address
What is contact the Privacy Office
300
When can general benefit information on a group be released without an authorization file
What is if the caller can supply either employer name or contact name.
300
What condition was once considered "Protected" but is no longer treated as a protected condition?
What is Pregnancy
300
What type of annoying insect is named for a colorful article of clothing?
What is a YELLOW JACKET
300
Who refers to themself as Mr. Smoove?
Who is Mr. Mark Derrick Miles Jr.
400
What does the HIPAA Privacy Rule require
What is to know the identity of of caller
400
An authorization is need on file for a domestic partner when they are asking for what information
What is Specific Benefit Info, Claim Status,EOB Claim, Question, EOB Membership/Other Insurance Question, General Membership Info
400
What information must be written on the NYS HIV/AIDS authorization form?
What is Member's ID Number & Member's Date of Birth
400
At about what age is a horse considered an adult?
What is 4-5 years old
400
how many children does your instructor have?
What is 3
500
Provider Authentication includes whom
What is providers facilities pharmacies external case managers third party agencies referral inquires
500
When can you disclose information to an attorney
What is when active authorization is on file
500
What is the address a written NYS HIV/AIDS auth form must be mailed to?
What is Excellus BlueCross BlueShield, PO Box 22999, Rochester, NY 14692 ; or faxed to 315-671-7079
500
The smallest bird in the world is not much bigger than a bumble bee, and sort of acts like one. What kind of bird is this?
What is Hummingbird
500
Which classmate is naming their child Excellus Univera Spaulding?
Who is Brittney Spaulding.
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