Medicare
midterm 2
midterm 3 `
midterm 4
midterm 5
100
generally known as hospital insurance
What is part A
100
may help pay for the cost not covered by original medicare except for prescription drugs
What is medigap plan
100
end stage renal disease, qualifying disability, 65 and older
What is medicare eligibility guidelines
100
avoiding treating the members issue like you have heard it all before is showing what?
What is objectivity
100
grievance against pharmacy
What is rx claim grievance
200
known as medicare advantage
What is part C
200
using phrases such as I know how frustrating that can be
What is empathy
200
a diagnosis code that indicates substance abuse is what type of member info
What is sensitive member information
200
taking time and not interrupting is showing
What is patience
200
grievances towards brokers
What is sales grievance
300
helps cover medically nessary services including doctors
What is part B
300
stay engaged and focus on what the member says
What is attentiveness
300
member requests that we send a replacement id card from what tab in account summary
What is fulfillment tab
300
in this level members are responsible for paying a copay up to a set amount
What is initial coverage
300
type of grievance against a doctor
What is quality of care grievance
400
prescription drug plan also known as
What is pdp
400
always used as the wild card symbol when searching for a member
What is %
400
an expression of dissatisfaction
What is grievance
400
the time between a plans standard level of coverage and the catastrophic coverage
What is coverage gap
400
required as part of the closing of the phone call
What is final offer of assistance
500
medicare advantage plan
What is part C
500
member reaches their troop in this level
What is catastrophic coverage level
500
during this time the member is responsible for 100% for services rendered until they meet it
What is deductible level
500
CTM stands for
What is complaint to medicare
500
positive vocalization focuses on what
What is tone/ inflection
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