In what program would you find the material request template?
What is IFP Sharepoint.
100
What program feeds into FACETS and OneView?
What is CIT
100
Subscriber # 100574569
What is the funding type?
What is ASO
100
What C-Kit dopcument number is used for HIPPA.
What is PP2689
100
If Stone Cold Steve Austin calls in with a question and you need to transfer the call to a different department, what would you say to him?
I.E. Beware of the Stone Cold Stunner!
What is May I connect you with a specialist in that department who can better assist you with this.
200
If a TPA, the Ultimate Warrior, calls in and their information displays "PAYER" through OneView, what system would we use to find their phone number?
What is PTrack
200
If Razor Ramon calls in and is looking for a copy of his ID card, in what system would we find a copy of The Bad Guy's ID card?
What is FISERV
200
Subscriber # 100574569
What is the number of EE's?
What is 645
200
If Air Bud becomes pregnant, which C-Kit document would you use to go over Cigna's Maternity Policy?
What is PP3169
200
Subscriber # 100574518
How would you quote Okie's Network OOP benefits(Individual), as well as their Network deductibles(Individual)?
What is the network OOP has not been met yet. The OOP max is $1,525 and $0 has been met so far. Okie's in network deductible is $220 and $0 has been met so far.
300
Hulk Hogan calls Cigna. The Hulkster wants to check the precertification of his back procedure. What system would we use to check the status of his precertification?
What is TruCare
300
If the King of Pop calls in to see if we received his nose surgery documentation, in what system would we look to see if we received Michael Jackson's documentation he sent us?
What is FileNet
300
Yokozuna wants to get bariatric surgery, under which tab in BSBS would you find out if he is eligible?
What is IP Hospital
300
What tool is used to see what provider to use for Therapies.
What is SALT
300
What is the proper way to end a call?
What is Have I resolved the reason for your call today?
400
The Repo Man calls in and their ID number starts with a U, what system would we look to find them?
What is OneView
400
What is the DOS looking system used to find out if the Dr. Macho Man Randy Savage, M.D. has a provider contract with us.
What is CPF
400
Where can we find precertification information in Facets
What is UM History
400
Ricky the Dragon Steamboat calls in to find out if these codes can be billed together? Using PX-DX, can they?
97810
G43.019
What is Yes
400
This type of hold means that changes are being made to the policy and benefits are being updated. The claims will be paid once the hold is updated.
What is Amendment Hold
500
If Ravishing Rick Rude calls in and wants to review his EOB with us, in what system would we find the letter we sent him regarding his EOB?
What is XNET
500
What system saves our information that feeds into CorkBoard?
What is Oracle
500
The Million Dollar Man, Ted DiBiase, calls in with their credit card to make a premium payment, what system would you use to process the payment
What is None, you can't make a premium with a CC only binder payments.
500
What is the C-Kit number for that horrible power point on Primacy/COB?
What is RES2185
500
This type of hold happens when there is not enough money in the employer's bank account to pay claims. What is the name of the hold and where do we send them?
What is Arrears Hold and instruct them to contact their employers HR department.