This category and intent is used when a member would like to update their address on file?
What is Member and Update Member Address.
100
If a member was calling and wanted to know their coverage for Zostavax which wizard would you use to assist the member?
What is Vaccines.
100
Period between the member meeting the Initial Coverage Limit and prior to meeting True Out of Pocket (TrOOP) cost. In this level of coverage, the member is responsible for a percentage of their drug costs.
What is Initial Coverage Level.
100
We will honor commitments. We will never compromise ethics. We will be known for living to the highest forms and standards of ethical behavior. We will make honest commitments and consistently honor those commitments.
What is Integrity.
100
A Member may give another person permission to discuss their personal health information. A person granted this permission is.
What is Authorized Representative.
200
What's the number of tabs located in MIIM 360 View and name each one?
What is 6 or 7 and Plan, Member, Application, Contact, Recent Interactions, Employer Group, and Alerts and Triggers.
200
This feature allows you to save a job aid as your what?
What is Add to Favorites.
200
Period prior to plan coverage beginning. During this phase of coverage, the member is responsible for 100% of their drug costs until the amount is met.
What is Deductible.
200
We will actively listen to fully understand and genuinely empathize with people’s realities. We will then respond in service and advocacy for each individual, each group or community, and for society as a whole.
What is Compassion.
200
Was created in 1996, and addresses a number of issues, including the protection of confidential enrollee information.
What is HIPAA.
300
Which category and intent would you use if a member wanted to know about their drug coverage level for their current year?
What is Pharmacy and RX Benefit Details.
300
This Wizard allows CCP's to provide the member with phone numbers, addresses and correspondences.
What is Contacts.
300
Period after the member has met the True Out of Pocket (TrOOP) cost for the benefit year. Once this amount is met, the plan resumes coverage.
What is Catastrophic Coverage.
300
In order to achieve the full potential of our enterprise in our efforts to help people by Making Health Care Work for Everyone, we understand and believe that we can never achieve that goal alone. We must positively engage the efforts and interests of everyone who is touched by and can contribute to that effort.
What is Relationships.
300
Manipulation of AUX codes, which impacts routing or receiving calls. Leaving your immediate work area while your phone is in an Available state. Failure to wear your headset at your desk while in an Available state. Failure to respond to a caller when connected with the call, which results in the caller disconnecting the call.
What is Call Avoidance.
400
This function only allows you to view information but your unable to document.
What is View Account Summary.
400
MYSME is considered your what?
What is Source of Truth or Bible.
400
Period between the member meeting the Initial Coverage Limit and prior to meeting True Out of Pocket (TrOOP) cost. In this level of coverage, the member is responsible for a percentage of their drug costs.
What is Coverage Gap.
400
We will continue to respectfully challenge the status quo. We will encourage and invest in new ideas. We will be curious and not afraid to fail in honest efforts to focus on practical and purposeful innovation that builds value and benefits the entire health care system – so it truly works for everyone.
What is Innovation.
400
"I would really like to be able to help; however, I am having difficulty with the kind of language you are using. Could I ask that you please refrain from using that kind of language?"
What is Abusive Caller.
500
What does MIIM stand for?
What is Member Interaction & Issue Management.
500
What does MYSME stand for?
What is My Subject Matter Expert.
500
Program was created by CMS to assist members with their cost during the coverage gap
What is Coverage Gap Discount Program.
500
We are committed to deliver and demonstrate excellence in everything we do.
What is Performance.
500
This individual is able to make changes for the member and also act on behalf as the member this would be considered what?