INTENTS
PHARMACY
CLAIMS
JOB AIDS
SYSTEMS/
WEBPORTALS
BONUS
100

WHAT INTENT WOULD YOU USE TO FIND OUT IF A MEMBERS MEDICATION IS COVERED?

WHAT IS FORMULARY LOOKUP?

100

WHAT INTENT WOULD YOU USE TO FIND THE MEMBER A PHARMACY IN THEIR AREA?

WHAT IS FIND A PHARMACY INTENT?

100

WHAT JOB AID WOULD YOU USE TO FIND OUT HOW TO TRANSFER A MEMBER?(KM NUMBER ALSO)

WHAT IS THE GENESYS DIALER-INDEX KM1122931

100

WHAT SYSTEM CAN BE USED TO HELP ASSIST MEMBERS AND YOU CAN ALSO GET HELPFUL INFORMATION FROM?

WHAT IS KNOWLEDGE CENTRAL?

100

WHAT IS A WARM TRANSFER?

WHEN YOU CALL OVER TO THE OTHER PARTY AND SPEAK WITH THEM BEFORE TRANSFERRING THE MEMBER OVER TO THEM.

200

WHAT INTENT WOULD YOU USE IF AN AR CALLS IN TO REPORT THE DEATH OF A MEMBER?

WHAT IS UPDATE MEMBER PROFILE?

200

WHAT IS THE PLAN YOU WOULD SELECT IN THE FORMULARY LOOK UP TOOL TO HELP SEARCH FOR A MEMBERS MEDICATION?(LEFT SIDE)

WHAT IS 21057 MAPD CORE ENHANCED?

200

WHAT JOB AID WOULD YOU USE TO FIND BEHAVIORAL HEALTH CONTACT NUMBERS?(NAME AND KM NUMBER)

WHAT IS BEHAVIORAL HEALTH CONTACTS                 KM1007152  ?                  

200

WHAT SYSTEM CAN YOU USE TO SEE IF A MEMBER HAS A HOUSECALLS VISIT SCHEDULED?

WHAT IS HOUSECALLS MEMBER LOOK UP TOOL?

200

WHAT IS THE COMMUNITY AND STATE TELEPHONE NUMBER FOR KANSAS?

WHAT IS 866-262-9947?




300

WHAT INTENT WOULD YOU USE IF A MEMBER CALLS IN ABOUT GENERAL LEP CONCERNS?

WHAT IS MANAGE LEP?

300

WHAT ARE THE 4 STAGES OF COVERAGE?

WHAT IS DEDUCTIBLE, INITIAL COVERAGE,COVERAGE GAP, CATASTROPHIC COVERAGE?

300

WHAT JOB AID WOULD YOU USE FOR A MEMBER THAT DOES NOT WANT UHC TO CALL THEM?(KM NUMBER )

WHAT IS DO NOT CONTACT KM1006214?

300

WHAT SYSTEM DO YOU USE TO CONTACT OTHER DEPARTMENTS AND TO TRANSFER MEMBERS?

WHAT IS GENESYS?

300
WHAT ARE THE 2 WAYS THAT A MEMBER CAN COMPLETE A HRA(HEALTH ASSESSMENT)?

WHAT IS THROUGH THE IVR SYSTEM, OR BY MAIL?

400

WHAT INTENT CAN BE USED TO FIND OUT A MEMBERS MEDICAID STATUS?

WHAT IS MEDICAID COVERAGE INTENT?

400

WHERE IN MAESTRO WOULD YOU GO TO FIND OUT IF A PROVIDER HAS SENT OVER A PA FOR A MEMBERS PRESCRIPTION?

WHAT IS SUMMARY>PRESCRIPTION PLAN> PA?

400

WHAT JOB AID WOULD YOU USE TO HELP WITH SENDING OUT A HEALTH ASSESSMENT FORM TO A MEMBER?

WHAT IS COMPLETE HEALTH ASSESSMENT VIA MAIL

KM1233057

400

WHAT WEBSITE WOULD YOU USE TO FIND THE MEMBER A BEHAVIORAL HEALTH PROVIDER?

400

WHAT INFORMATION DO YOU HAVE TO HAVE IN ORDER TO SEARCH IN MARX FOR A BENEFICIARY? 

WHAT IS THE MEMBERS MEDICARE CLAIM NUMBER?

(LOCATED SUMMARY>MEMBER>MEDICARE CLAIM NUMBER)

500

WHAT INTENT WOULD YOU USE TO FILE A MIOD ON THE MEMBERS BEHALF?

WHAT IS COMPLAINTS, APPEALS, AND GRIEVANCE INTENT?

500

WHAT DOES A MEMBER WHO HAS LIS LEVEL 2(2022) PAY FOR A BRAND NAME MEDICATION?

WHAT IS 4.00?

500

WHAT JOB AID WOULD YOU USE FOR A MEMBER WHO WANTS A REIMBURSEMENT?

WHAT IS DIRECT MEMBER REIMBURSEMENT(DMR)-INDEX KM1004096

500

WHAT SYSTEM WOULD YOU USE TO SEE YOUR QUALITY SCORES?

WHAT IS PULSE?

500

HOW LONG CAN YOU KEEP A MEMBER ON HOLD?

WHAT IS 2-3 MINUTES?

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