Acronyms
Procedure
Member Experience
Professional Knowledge
HIPAA
100

SDRP

Service Delivery Resource Planning

100

When should you be logged into RMS?

Before 9am, after 5pm, and on weekends

100

When should you check the service hub, nuances, and BC tab?

ALWAYS!

100

Can we assist with tax prep? What team/benefit handles that?

Yes, through a DL search. We can locate tax preparers but it is not covered through the financial benefit.

100

Joe calls in for someone else. Their coworker, Paul, needs housing and they are not on the line currently. Whose name does the case go under?

Joe

200

RMS

Real Messaging Service
200

How long do we keep participants on hold at a time?

Two minutes

200

Ringo calls for legal advice. He tells you he's a first-time caller, but when you save his new profile an alert pops up telling you there is a potential match. How can we confirm this is the same person?

Make sure all demographics match. Things like addresses or phone numbers can change over time, but the name, DOB, and company should be the same.

200

EAP rep Rhonda calls for an update on an existing case, but the participant is not on the line. Can we give an update to the rep?

Yes!

300

OTCA

One Time Case Agreement

(will also accept One Time Contract Agreement)

300

Lebron calls in for clinical services. He said he's called before but has a new job now. You find his profile in UCMS under the old company. Can you update the existing profile with his new company?

Nope! Even if there is an existing profile for Lebron, we cannot change the company and need to make a new profile (for billing purposes).

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