SOONERS
How do you log in to your computer?
FIRST.LAST NAME
(300270508600) what is the base claim number
(Take off the first 3 numbers and the last 2 numbers) 2705086
Member is calling you to reset their password, where would you go to find, how to reset the password?
My Blue Cross in code blue
Members with an on-exchange plan want to cancel the contract what will you advise them?
call the MP 1-800-318-2596?
What are the prefixes for On-exchange plans?
BEG, PGX, NDJ
What is a shield claim?
Where the member went to see your PCP
What is the route code for Regular Business Claims?
WA
Off-exchange wants to cancel the contract.
Route an open inquiry to DU requesting cancellation.
When are you to educate or coach the member on BC?
RED-COACH
How do YOU log into Citrix?
if you are in the office you will click the bcbsvm icon, if you are at home you will go on google and enter vendor. alabamablue.com
What does CIS stand for?
Customer Information System
XAD888000999?
What is dental?
What does 9BN reject?
Service is not medically necessary
Who do you email if there is something wrong with your time card?
CCS_WFM@SOLIXINC.COM
How do you log into CIS?
click the internet explorer icon and enter the cis link.
what is ADJ 98w?
no referral on file
TCA888999000 want to add a dependant how are you going to handle this request?
you will route an OPEN inq to DU with all of the information of the dependant.
What does ADJ mean?
Adjudication
Who are the four supervisors for U65?
Wendy, Meridan, Jackie, Keisha (the GREAT)
What is E-pay
this is where you will take a payment
what is code blue used for?
A resource that you will use to help you with your call
What tab in CIS would you find a claim?
Claims
Tell me what your standard greeting is?
Good morning/afternoon my name is -----------how can I help you.
What DME Diabetic Kit is covered on the formulary?
FreeStyle Libre.