What is the correct task type for a brand new HBP provider joining a messenger model group?
Messenger Model Group
100
You received an Opt Out request for an individual contract, what is required?
Practitioner Signature is required
100
What does it mean to Suppress from the Directory?
Provider has chosen all or specific practice information to not be advertised on the Multiplan website (Directory).
100
If both VA PCCC and another scenario priority apply which do you choose?
VA PCCC
100
What is the Definition of Portal?
Refers to MultiPlan’s online website where providers can submit requests and changes. The portal automatically creates a Service Tracking case that will import into Filebound as an e-mail to be worked by the Registrar team.
200
Practitioner is adding a messenger model group and a new individual contract. What is the correct task type?
Individual Contract Addition
200
What is required for an Opt In or Opt Out request for a Messenger Model Group?
Group Authorization is required
200
What is an In Process Group?
A group that is not yet in MP3, but is in the process of being created. Typically a group will sign an agreement and supply a list of practitioners to begin processing.
200
If both In Process Group and State Transfer apply which scenario priority do you choose?
State Transfer
200
What do you do if you receive a contract termination date change for a Group or Facility?
Route to Contract Terminations
300
Practitioner is adding a group and also includes an agreement for an individual contract he/she already has. What is the correct task type?
Group Update
300
You receive a request to Opt In to a Non-Messenger Model Group, what do you do?
Process as a No Update, create a master note and update file details.
300
What are the Document Tracking System (DTS) and its purpose?
DTS is a web-based software application used by MultiPlan to track the progress of in-process groups and facilities
300
If both In Process Group and Multistate apply which scenario priority do you select?
In Process Group
300
When routing to Registrar Team Lead what is updated in the file details?
Provider ID – CAQH ID Listing, Contract ID, Last Name, First Name, State and Estimated Record Counts (enter the # of practitioners who need a CAQH app downloaded.
400
Practitioner is adding a messenger model group and also includes an agreement for an individual contract he/she already has.
Messenger Model Group
400
A request for a group or facility to opt in or out of WC/Auto product was submitted, what do you do?
Requests for a group or facility to opt in or out of WC/Auto products should be forwarded to the negotiator.
400
What do the initials CAQH stand for?
CAQH stands for Council for Affordable Quality Healthcare. CAQH's website houses a large number of state and standard credentialing applications for practitioners.
400
If both Cred Priority and State Transfer apply which scenario priority do you select?
State Transfer
400
What date is used in the first line of the individual agreement? And, what date is used on the By line after the CEO signature?
Received Date and Date of Processing
500
A practitioner is terming from a messenger model group.
Group Practitioner Termination
500
You received a request for a group or facility to opt in or out of WC/Auto products from a Negotiator, what do you do?
If the submission was sent to registrar by a negotiator, forward the submission to NDOPS@multiplan.com instead.
500
What is the primary goal of HIPPA the Health Insurance Portability and Accountability Act of 1996?
The primary goal of the law is to make it easier for people to keep health insurance, protect the confidentiality and security of healthcare information, and help the healthcare industry control administrative costs.
500
If both Cred Priority and Multi-State apply which scenario priority do you choose?
Cred Priority
500
What practitioner element changes require a maintenance file to be created for a Recredentialing form?