Insurance
Which document can you upload to verify a patient’s eligibility later if the internet or insurance portal is down?
What is a copy of the patient’s insurance card?
A patient or guardian reports child to have a sore throat, ear pain and fever- what do you do?
What is schedule a same day appointment or next day.
Dashing through the snow, on a one-horse open ____, over the fields we go.
Sleigh
If a patient is scheduled for the wrong provider, what is the first step?
What is confirm the patient’s needs and reschedule appropriately?
Which portal gives you the most options for verifying a patient’s insurance eligibility?
What is Availity?
This term refers to the amount a patient must pay before insurance kicks in.
What is a deductible?
What do you do if a patient reports chest pain?
What is gather the patient’s name and date of birth, pull their chart, and contact the Triage team, providing the MRN and reason for triage?
.Jingle bell, jingle bell, jingle bell ____. rock
Which demographic fields must be completed before scheduling a new patient’s appointment?
What are the patient’s full name, date of birth, contact information (phone/email), address, and insurance details, and complete UDS page?
Which portal do you use to obtain a patient’s Medicare Beneficiary Identifier (MBI)?
What is Connex?
What does it mean when a plan shows “inactive”?
What is patient does not have active coverage.
True or False: If a patient calls or walks in reporting severe shortness of breath, you schedule an appointment.
What is false? You should contact the Triage nurse immediately.
Santa Claus is coming to town, Santa Claus is coming to town. He's making a list and checking it ____.
Twice
How are patients aged 12–17 scheduled for Family Planning, pregnancy testing, or STI testing, and what should schedulers do if a parent or school calls to make the appointment?
What is they are automatically scheduled as Confidential appointments, and schedulers must explain the Confidential procedure before scheduling the appointment?
In MEDI how can you find out if a patient has a Managed Care Organization (MCO) plan?
What is scrolling to the bottom of the Eligibility Results page in the Medi portal to find the patient’s plan or coverage details.
If you cannot verify a patient’s eligibility using the name on our chart, what other ways can you confirm it?
What are using the patient’s date of birth, or alternative formats of their name, such as adding hyphens, combining last names, or other variations?
If a patient reports vomiting red blood or coffee-ground material, what is the appropriate action?
What is treat as a medical emergency and connect patient with Triage.
Feliz Navidad, prospero ano y felicidad. I wanna wish you a Merry Christmas, from the bottom of my ____.
Heart
Name one thing you should do before discussing appointments, medication refills, or other patient information with someone other than the patient.
What is verify the person’s identity and confirm they are authorized to receive the patient’s information by reviewing the Alerts or scanned consents.
How can you verify if a patient has a Medicare Advantage plan?
What is by checking the Medicare Advantage tab within the Connex portal?
If a patient has medical insurance, do they automatically have dental coverage? If a patient says they have dental coverage, what should you look for on their insurance card?
What is no, medical coverage does not automatically include dental coverage; if a patient has dental coverage, their insurance card should list a dental plan or dental benefits.
A patient reports facial swelling and jaw pain, what is the appropriate action?
What is reach out to triage nurse immediately.
Chestnuts roasting on an open fire, Jack Frost nipping at your ____.
Nose
After finalizing a patient’s appointment, what should you review with the person you scheduled it with?
What is review the confirmation window (yellow box) and provide the patient with the appointment date, time, provider, and location? In the call center we call these the "5 Rights of Scheduling" Right Patient, Right Date, Right Time, Right Location.
How do you verify a patient’s UnitedHealthcare Student Resources coverage?
What is by calling the phone number listed on the patient’s insurance card, or if no card is available, by looking up the contact number in the UnitedHealthcare portal?