Know the Cigna Business
What is Cigna's Mission
To Improve the health, Wellbeing, and peace of mind to those we serve.
What is Knowledge Centered Service? (KCS)
(There is more than one answer here)
Provides Answers just in time, exactly when you need it.
Allows you to share what you already know and helping your coworkers with those tough to answer questions.
provides customers with current answers.
What is HIPPA?
Health Insurance Portability and Accountability Act
What is the Coverage Equation?
What- Service being done
Why-Medically Necessary?
Where- place of service, place the service is taking place
Who-Who is completeing the service.
This is a tool that we can mirror and use to assist the customer with their digital experience.
MyCigna.com or the My Cigna Mobile App.
Note we can only mirror their My Cigna.com account.
What is our Role?
To be champions of our customers and our communities.
We use this system everyday, This is the system we use for calling taking and call tracking.
What is One View
What Is PHI?
Protected Heath Information?
What is Call Flow? How do we establish call flow?
Every call is unique and should be tailored to the needs of each individual customer you serve.
Catering to caller, and their needs.
Greeting, Probing questions, Resolution statement or question.
This is a tool we use to access Plan booklets, Template and forms for our IFP customers and IFP accounts.
The IFP sharepoint
Who is the President and CEO of Cigna, Corp?
David Cordani
Use It
Flag it
Fix it
Add it.
What are some examples of PHI?
Name the types of codes we have disucssed.
CPT
DX
HCPC
REV codes
Define the following Terminolgy:
Art+T+Eye+_____ or that
Car+Sin+o+ma
Tack+E+Car+DIA
Art+Throw+s+Cops+Y
Card+IO+Meg+Ally
Gas+T+Eye+Tis
Rhino+P+Last+E
Arthritis
Carsinoma
Tachycardia
Arthroscopy
Cardiomegally
Gastritis
Rhinoplasty
Who is the executive Vice President, Human Resources and Services for Cigna Cooperation?
John Murabito
What are the Various Roles within KCS?
Pioneer
Advisor
Publisher
Author
Publisher Mentor
Knowledge Mentor
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Look at the verification information populated by Computer Telephony Integration (CTI) or on your phone, and ask the caller to give you the information that was not populated.
Alternate Medical Identifier (AMI). Employee Identification Number (EIN) or Employee's Social Security Number (SSN)
Caller first and last name
Customer first and last name
Customer date of birth
Zip code if date of birth is incorrect
What is the definition of CPT code 26100
Biopsy hand joint lining
This is our claims processing platform and is used as a back end system for us.
what is facets
These are Cigna's Core Values.
What is:
We Care Deeply about our customers, patients, and Coworkers.
We create a better future together
We innovate and adapt
We partner, Collaborate, and Keep our Brand promise.
We Act with Speed and purpose.
This role Allows you to Use, Flag and Add, knowledge. and puts you in the driver seat.
What is Knowledge Pioneer
How do we properly validate a Providers call?
Alternate Medical Identifier (AMI). Employee Identification Number (EIN) or Employee's Social Security Number (SSN)
Caller name
Customer name
Customer date of birth
Zip code if date of birth is incorrect
Ask the caller for the providers or Facility name.
Ask the caller to verify using the information below.
Provider Tax Identification Number (TIN)
Pharmacy NABP number
Pharmacy only: National Provider Identifier (NPI)
What is the Revenue Code for Magnetic Res Imag-Gen
Rev Code 610
what is an Alliance and why does Cigna Form Alliances.
As a bonus what are the different roles in an alliance (there are 2)
An Alliance is an agreement between Cigna and another Health Insurance Carrier to access networks in each others specific Geographical Area.
We form alliances to bring more Helath Care providers in network to our cusotmers.
Coordinating and supporting parties bonus answers