**************DAILY DOUBLE****************
For the following Health Plans (Absolute Total Care & LA Health Connections) uses this vendor for Vision Care.
What is Opticare.
100
You will always use this system during the authentication process.
What is CRM?
100
*************Daily Double****************
When working with an interpretive service, its always good to:
AND
Who is our Vendor
Speak directly to the provider/member rather than the interpreter.
What is Voiance?
100
****************Daily Double******************
Within active communication; what type of listening encompasses: saving time, relief of negative emotions and creates an environment where everyone feels safe?
What is Effective Listening?
100
Our Dental Service Providers for Centene will be.
What is Dental Health and Wellness?
200
This Health Plan uses Quest Diagnostics for their laboratory provider network.
What is Absolute Total Care (ATC)?
200
What system do you use to update a members commercial insurance coverage?
What is CRM?
200
*************** Daily Double *********************
Dental Services are covered for the following health plan(s).
What is Absolute Total Care
What is Preventative Care only for LA HealthCare Connections for 21 and younger members
200
When a variety of responses help, what type of listening skill is needed?
what is Provide Feed-back?
200
Our old Dental Service vendor is..
What is DentaQuest?
300
This is a Bayou Health Plan available through the Department of Health and Hospitals (DHH)..
What is LA, Health Connections?
300
We use this system to check if a provider is listed as a Non Par provider.
What is Portico?
300
Member HIPPA verification requires that you verify ____ pieces of indentifying information.
What is (3) three pieces?
300
To discipline yourself, and block out distractions, this form of listening is necessary.
What is Concentration
300
***************Daily Double*******************
Centene's Correctional Facility Health Plan(s) are serviced through....
For these states..
What is Centurion?
Servicing: VT, MN & TN
400
*********DAILY DOUBLE************
This health plan does not cover Behavioral and Mental Health Services, Hospice Services, LTPS or Dental Services.
What is LA Health Connections?
400
All claims are processed and filtered into this system(s).
What is Amysis and CRM?
400
Our Prior Authorizations go through this vendor for most of our Health Plans
What is US Scripts?
400
Some ways to acknowledge that you're listening requires you to..
What is "Clarify, provide feedback and to reflect"?
400
LogistaCare is used for transporting members to appointments for which health plan.
What is LA Health Connections?
500
This Health plan handles our Medicare Dual Plans (MMP)
What is Absolute Total Care (SC)?
500
You can view all paper claims and remittance advices (RA) through this system.
What is the Emdeon?
500
Enrollment begins in October for this Health Plan.
What is Ambetter Marketplace?
500
One thing you can do to be a better listener is:
What is "Don't Interrupt"
500
For DME, Home Health, & Home Infusion we use this vendor for Absolute Total Care..