MISC
MYSME
MIIM
Medicare
Pharmaceutical
100
What are the 5 positive engagements?
What is Focus and Accountability, Positive Connection, Proper Etiquette, Positive Scripting and Positive Vocalization.
100
How many links does MYSME have?
What is 7.
100
When using MIIM if you needed to check if the TRR codes are received which tab would you use and also where else would you check to see if the code was received?
What is Recent Interactions and GPS Contact History.
100
In what year did Social Security Act established both Medicare and Medicaid?
What is 1965.
100
A drug that is sold under a trademarked name?
What is Brand Name Drug.
200
If a member needs additional assistance with their prescription co-pays and premium amount what program could a member use?
What is LIS (Low Income Subsidy)
200
If a I wanted to know about definitions and acronyms which link would I utilize?
What is Quick Links.
200
When your in MIIM at the end of the day your what should always be clear?
What is Work List.
200
Medicare is regulated by?
What is CMS (Center for Medicare & Medicaid Services).
200
A summary that tells what the health plan will and will not pay for?
What is EOB (Evidence of Coverage).
300
What are the 2 websites should a member use if they wanted to find out about their plan?
300
What should your business area in MYSME always say?
What is Customer Service.
300
If you didn't want to start a new phone call and just wanted to look into the members account what option would you use?
What is Research.
300
Medicare beneficiaries become eligible for?
What is Part A & B.
300
A requirement to contact the plan before filling certain prescriptions?
What is Prior Authorizations.
400
Whats the program that a member could use that is different state by state for prescriptions?
What is SPAP (State Pharmaceutical Assistance Program).
400
So if I needed to refresh MYSME what icon do I use?
What is MYSME.
400
So how many categories are there in MIIM?
What is 8.
400
Private companies not the government offer what?
What is Part C.
400
A group of medications used to treat the same condition or diagnosis?
What is Therapy Class.
500
If a member would like to request transportation who would we refer the member to for a ride?
What is Logisticare.
500
If I wanted to hide my most recent job which icon would I use?
What is Eye Ball.
500
So how tabs does MYSME have?
What is 6.
500
During what phase of a standard Part D plan does a member pay the most for prescriptions?
What is Catastrophic Coverage.
500
A one time, 30 day supply of a drug that Medicare drug plans must cover when an individual is in a new plan or when their existing plan changes its coverage?
What is Transitional Fill.
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