What does UCI stand for
UCI- Unique Child Identifier
what chat do you use to alert leadership when problems occur to stop production?
what is MA internal member service number?
6736020
how many calls does sherry pull a month per person?
10
what are the talking points for Chip and MA
Chip- ACP, ID, DCM
MA- ID, Transportation, PA211, DCM
What is the minimum percentage you should receive on a call?
98%
True or False
Its mandatory for chip agents to check and see if anyone in the household is receiving food stamps
false
what is our monthly attendance percentage?
87%
Making dental and wellness apt
Confirming dental and wellness apt
DCM Transferr
DCM Call backs
Provider Outreach
24 to 48 hours
Member ID (on the insurance card)
emp number in profound
how many transactions could you get with a household of 4 all due for dental and wellness.
you only get 2 guesses.
9
How do you sign on to your phone? be specific.
Put your extension in
Your password is the last 4 of your extension twice.
where do you go to find callbacks in profound?
Maintain cut worklist.
where do i check eligibility in profound?
You have 1:30sec to answer
hotlinks
display members
display history
Where do you go to check address in eCis
Standalone
What are the three-member goal that upmc wants us to strive for on every call?
First call resolution
go above and beyond.
member experience
What number do we transfer to when someone calls in and has questions regarding their Medicare plan?
you have 1:20sec to answer
877-539-3080
673-6026
What information do we send to your Dental care managers chat when transferring?
member name
member date of birth
Case number
Alternate ID
Date and time of dental apt
In profound what steps do we take to look at a member's previous documentation
open the account using one of the three numbers then hotlinks display member then click on cutlogs
on the main menu in Profound what option do we choose when
Correspondence Unit Tracking
What are 5 Hippa Violations?
you have 1:20 sec to answer
Lost and stolen devices
Hacking
Employee Dishonesty
Improper Disposal
Third Party Disclosure
Release of information
Unencrypted Data
Lack of training
Unsecure Records
Loud Mouths
Partnership
Respect
Integrity
innovation
Develpment
Excellence
Service
What are the five zones UPMC for You covers
southwest
Northwest
Lehigh capital
southeast
northeast