Soft Skills
Being a good _______ is an important aspect of communicating with our members and providers
What is Listener
What system is used daily to document all customer interactions?
What is Salesforce
Which term best fits this definition: "the most a member would have to pay for covered health care services during a benefit period. "
What is Out of Pocket Maximum
"We count on and care for each other" is which one of IU Health's Values?
What is Team
How many Provider Relations reps are there?
What is Four
It is always important to ____________ or restate a customer's issue for clarity to ensure you understand what it is they want or are asking.
What is Paraphrase
What application software is used by team members to submit a PTO request?
Which of these generally describes the essential meaning of a word; in medical terminology, it is generally a body part?
What is Root Word
"We work to do good in the lives of all others" is which one of IU Health's Values?
What is Purpose
True or False. All out-of-network lab services require prior authorization despite benefit, to reduce FWA risk.
What is True
____________ is the capacity to understand or feel what another person is experiencing (to place oneself in another's position)
What is Empathy
Who is the electronic remittance and ACH payment vendor for IU Health Plans?
What is Zelis
Which term best fits this definition: "a list of prescription drugs, both generic and brand name, that are covered by an insurance plan at the highest copay or coinsurance. "
What is Formulary
"We treat all people with respect, empathy, and kindness" is which one of IU Health's Values?
What is Compassion
What type of grievances are the following: Misdiagnosis, Medication error, delay in treatment, failure to obtain results of tests ordered.
What is Quality of Care
There are three types of communication skills. What are they?
What are verbal, non verbal and written.
What are the three systems in which you can view a copy of the members ID card?
What is MPX, Healthrules and Health X (Member Portal)
Which term best fits this definition: "medications that are chemically identical or bioequivalent to name brand drugs and intended for the same use."
What is Generic
"Doing our best at all times in and new ways" is which one of IU Health's Values?
What is Excellence
Which type of code is used to classify services rendered/”what was done” to a patient during an encounter with a physician/at a facility?
What is CPT Code
Research, Critical Thinking, Decision Making and Troubleshooting are all essential parts of what Soft Skill?
What is Problem-Solving
Which of the following vendors receives all paper claims and scans them into an electronic transmission to be entered into CAPS?
What is ImageNet
Which term best fits this definition: "Medical coverage that may be available to you if you are a new member of IU Health Plans or your doctor leaves the IU
What is Transition of Care
Leading the transformation of healthcare through quality, innovation, and education to make Indiana one of the nation's healthiest states is IU Health's:
What is Vision
What is any dissatisfaction expressed by a member or on a member's behalf with a reasonable expectation that action will be taken to resolve or reconsider a matter?
What is a Grievance