System/ Function
Account Summary
MIIM Navigation
Person Search
HIPAA
100
ODM
What is online document management?
100
Permanent, Temporary, Mailing
What are the three adresses you can view in the meber info tab
100
Account Summary Window.
What is important to close when you finish or else it might not display the next time you open it.
100
Create a quick contact.
When the member identifies and identifies a caller as a third party?
100
First/ Last name, DOB, Member ID or Medicaid number.
What are the essential pieces of info needed to verify an account?
200
CTI
What pulls up the members details from a system called GPS?
200
Eligibility tab
What displays reference information regarding an account?
200
Wrap up.
What is the function you double clkick before exiting an account?
200
When CTI is unable to locate a member from VCC
When do you have to perform a manual search?
200
Present, Past and Future health conditions.
What is PHI?
300
New Phone call.
What is the proper way to start a new member request?
300
Summary Tab
What holds numerous pieces of information that may help you with member inquiries?
300
Search Provider
What is the easiest way to access account summary?
300
When no application is found
When do you create a prospect?
300
Integrity
What might a PHI or HIPAA violation effect?
400
Worklist
What is a queue of work assignments that is specific to a single user?
400
Member Interaction, Medical spend, Premium Info, Rx Spend
What is the four main points of interest within the dashboard tab?
400
7
What is the number of intentions listed under member?
400
Social Security number, HICN
What do we never provide to third parties?
400
Health Insurance Portability and Protection act
What does Hippa Stand for?
500
MIIM
What is an application to give you a single end to end tool to view issues and efficiently manage member touch points?
500
Dashboard.
What is only available on active accounts?
500
a 360 degree view
What is it called when you can see everything in the account?
500
Verify that caller is member.
What is the box that you click when your results show up and the meber is on the line?
500
CTM, WAPMO, Fines, loss of job, Member loss
What is a possible consequences of a Hippa violation?
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