Credential Stream
The workflow added to an onboarding providers profile if we're not sending the CS application.
What is the Initial Provider Enroll Workflow
If an application asks for a billing or pay to person who is the contact?
Who is Nicole Rigo
On what status sheets can we submit BCBS enrollment only no matter what the providers insurance review reveals?
RAD & ANES
Pro re nata – As needed
What is PRN
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Name 3 names of Santa's reindeer
Dasher, Dancer, Prancer, Vixen, Comet, Cupid, Donner, Blitzen, and Rudolph
Application Complete date
Turns off automatic notices sent to providers regarding the initial credentialing application
What is the new requirement that providers must perform during Initial Medicaid provider enrollment?
Complete the attestation
What would you do if while completing follow up calls a payer rep tells you they have no record of your application?
Check with the team, locate the reference/confirmation number, escalate the issue
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What do you call the Christmas drink made from milk, sugar, and eggs served in the UK and North America?
Eggnog
Normal TAT to complete a provider’s renewal
What is 1 week from receipt
What do you do with the information provided in the onboarding questionnaire?
Add it to the providers profile in CS
If the enrolling provider has never been enrolled in NC Medicare (Palmetto) which TWO sections should the signed attestation be uploaded to?
Reassignment & Application
Why is it important to update approvals on the status sheet as soon as we receive them?
Scheduling watches the status sheet to know when they can add that group of patients to a provider’s schedule.
A provider who is a Temporary healthcare professional who “REPLACE” regular staff
Locum Tenen Providers
Our internal SL to send out communication to new providers no matter their start date
What is 2 business days
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What's the title of a famous Christmas ballet by Tchaikovsky?
The nutcracker
What departments do NOT have to go through BCBS Credentialing?
Anesthesiology, Radiology, Hospitalists.
What are the questionnaire answers used for?
Payer Enrollment /Roster management/CAQH Updates
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What is the season of Christmas in Australia?
Summer
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What was the most popular gift for teens in 2024?
The Stanley
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The (group) name of the thieves in Home Alone?
Who are the wet bandits
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What is the name of the songs people traditionally sing at Christmas?
Carols
Why do we want to avoid resubmitting applications?
What is pushing the effective date back and delaying provider payment?
Coverage is added when you could be held legally responsible for actions of your employees, contractors, or agents while they work for you. It protects you from lawsuits or claims caused by their mistakes or negligence.
What is Vicarious Liability
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What fast food do people in Japan eat for Christmas?
KFC