Forms
The form that Behavioral Health Practitioners (specialist in category) use to enroll with BCBSM/BCN
What is the New Mental Health Practitioner Enrollment Form?
You have placed the caller on an open hold
What is Mute?
PEDM
What is Provider Enrollment and Data Management?
Understanding what the person is dealing with from a personal point of view
What is Empathy?
System that PEDM uses for prac/prov inquiry, status and changes
What is PORTICO?
The Form that Practitioners (specialist in category) use to enroll with BCBSM/BCN
What is the New Practitioner Enrollment Form?
The greeting that the caller receives
What is Call Opening?
MAPPO
What is Medicare Advantage Plus Blue PPO or Medicare Advantage Preferred Provider Organzation?
This speaks volumes about your thoughts and can come across even over the phone
What is Body Language?
System used for verification of a practitioners status with the state
What is the License and Regulatory Affairs
(LARA) system?
The form that the Certified Nurse Practitioner uses make changes to their profiles
What is the Allied Practitioner Change form?
3 minutes
What is the Hold Time?
PHI
What is Protected Health Information?
Maintaining your character and attitude throughout the call regardless of the persons mood on the other end
What is Tone?
System used to document every call and used when assistance from another department is required for resolution of an inquiry
What is MACESS?
The form that the Physician Assistant must send in with the Enrollment Application and Signature Document in order to enroll with BCBSM
What is the Physician Assistant/Physician Practice Agreement Attestation Form?
Obtaining a person on the line before sending the call to someone in the dept
What is a Warm Transfer?
NPI
What is National Provider Identifier?
Though I have never experienced it, I really feel bad that their car was stolen
What is Sympathy?
The two systems used to verify Medicare Standing required for enrollment and network changes
What are Medicare Opt Out List and Preclusion List?
The form used to make changes to group and add practitioners to the group
What is the Group Change form?
This is where you thank the caller for choosing/calling BCBSM and bid them a good day
What is the Call Closing?
NPPES
What is National Plan and Provider Enumeration System?
The ability to focus on the speaker, understand their message, comprehend the information and respond clearly and thoughtfully
What is Active Listening?
System used to verify the national listing of a Practitioner/Provider/Facility NPI
What is the National Plan and Provider Enumeration System (NPPES)