Medicaid
Women and Children
Who qualifies for Medicaid?
65 and older or disabled for 24 consecutive months
Who qualifies for Medicare?
Ask, provide a time frame and explain the reason
How to place some one on hold.
You're getting paid
What is Interaction Desktop?
They enjoy peanuts
What are elephants?
Name and DOB
What we verify with a biological parent when they're not listed
Authorized to speak, but not to make changes
What is an AOR?
Go to Consults
Place number
Hit dial
Place member on hold
How to dial a third party?
Records agent activity
What is screen capture?
Mauna Kea
What is the tallest mountain in the world?
Lead Screening, Chlamydia, breast cancer
What are Medicaid Care Gaps?
Name 3 medication adherence alerts
Hypertension, diabetes and cholesterol
Warm transfer
What is the only type of transfer we're allowed to do?
Documentation Tool
What is CareConnects?
They can run up to 75 mph on land
What are Cheetahs?
Verbiage for biological parent or legal guardian not listed in the account.
What is verbal attestation?
Colonoscopy, sigmoidoscopy and fecal occult
What are consultations for colon cancer?
Out of office, file log off, file exit
How to log out of Interaction Scripter?
Customer service and transportation phone numbers
What is WellCare Portal?
What does HEDIS stand for?
Healthcare Effectiveness Data and Information Set.
What NOT to provide to anyone that's not listed on the account
Address and phone number
How do you perform third party Hipaa validation?
By asking to speak with the member, to verify Hipaa, then ask for verbal authorization to speak with third party.
What do you do if a member needs assistance with transportation?
Refer them to the Community Assistance line
System used to look at your schedule
What is NICE?
This film was the last animated feature to be approved by walt disney and the studios first animated feature to be completed after his death.
What is the Jungle Book