MIIM
Hipaa
Account Summary
Documentation
Random
100
Member Interaction and Issue Management
What does MIIM stand for?
100
What are 3 pieces of information you must verify
Full name, DOB, member id, medicare id, full address
100
Where is Account Summary Housed
Inside of MIIM
100
What must be document?
Hipaa Verified Who Reason for the call Resolution (include what you advised the member according to mySME
100
What is the disclaimer for PCP changes
*******
200
First step when searching for a member
Select New
200
T/F For an authorized party listed on the account he/she must have verbal consent to change PCP
True
200
Under which tabe can you find the current PCP listed
Summary
200
Where are the 2 places that you must document
Account Sumary MIIM
200
What are the coverage levels
Deductible Initial Coverage Gap Catastrophic
300
Do you select Search or Submit after entering in the member's id?
Search
300
Can the POA request a referral form the PCP on behalf of the member
Yes
300
What is the difference between Launch Account Summary and View Account Summary
Changes can be made in launch mode and view is for view only
300
How do you review previous notes? Which tab in MIIM
Recent Interactions
300
What are the core values
Integrity Compassion Performance Relationship Innovation
400
If a member does not have his/her member id or medicare id how search for them in MIIM
First and Last name, DOB and State
400
What does Hipaa stand for?
Health Insurance Portability and Accountability Act (HIPAA).
400
What is the navigation process to get to the Evidence of Coverage
Benefits, Annual Notice of Change, Evidence of Coverage
400
How will you know after reviewing mySME what to copy and paste from mySME
In mySME you will see, educate the member, advise the member, tell the member
400
Which category is Send Non-Marketing Materials under
Member
500
How do you close an open case on your Worklist?
Cancel this work
500
What is the name of the jobaid in mySME that gives you access to the Hipaa Index
Hipaa Index
500
What must you do before you can officially close Account Summary
Document
500
What is listed under ORS Contact History
Cases that have been routed
500
Who is your employer UHC or UHG?
UHC
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