IHWA

Initial Preparation

100

This is the number of members you should add to your roster at a time

5

200

This is the alert you should look for on your roster when working with your members

Routine Medical Referral

300

True or False?
You should jot down H#'s and other important information on a notepad in case you lose it.

False

400

True or False?
Recording a member as Do Not Call in CgX AND hCAT is all you have to do to ensure a member is no longer called by Humana.

False

BONUS!  
What else do you have to do?

500

You left a voicemail for a member yesterday; they called back today.  They are routed through the inbound team to you.  Which process will you need to use to work the member's case?

Unclose Member Process

Member Outreach

100

This disclaimer must be used before you go forward with a call.  It's the law.

Call Recording Disclaimer

200

DAILY DOUBLE

Place your Wager 

Every member we speak to must be ____ before we proceed with the call.

300

You called a member but didn't reach them.  What number did you leave on the voicemail?

1-800-558-0187

400

You called a member and their daughter answered.  What must you do before you go forward?

1 - Validate permission is already on file in the form of a ROI or POA

2- Obtain verbal permission from the member themselves before going forward.

500

You called a member and they answered, but this is a bad time.  What do you do?

Offer to call them back, and try them again later.

hCAT

100

What kind of cat is hCAT?

Tiger

200

This area of hCAT is where you can search for a member

Global Member Search and/or GMS

300

This function within hCAT is where you can change your role code, state assignments, and available languages

User Administration

400

True or False?
You can have as many instances of hCAT open as you want at a given time.

It's false, hCAT will get upset if you have multiple tabs in the same browser.

500

You contacted a member and had a successful conversation.  You offered to connect the member to resources or other disciplines, but they have opted not to go forward at this time.  What is the correct alert disposition? 

Ongoing support offered to address needs and member declined

CgX

100

When working IHWA what level do you need to be within, to do your documentation successfully?

The case level

200

True or False?
If a member needs assistance making an appointment with a provider, you need to use the Appointment Assistance PowerApp.

True

300

In CgX, we work primarily within the IHWA ____

(Assessment, Survey, Questionnaire, or Census?)

Survey

400

This section within CgX allows you to see other ways to contact a member.

Alternative Information

500

DAILY DOUBLE :)

Place your Wager 

Must get both right to get the points:

Surveys should only be marked _____ if a contact is _____.

Resources

100

The maximum number of recorded consents that can be completed at one time.

2

200

This system is where you would order an OTC catalog to be mailed to a member.

EMME

300

When requesting assistance from a Social Worker, you would submit a _____ in ______.

a Task in CgX

400

The process for submitting a request to have someone support a member in finding a new provider.

Appointment Assistance

500

Our homemade application where all of your work is cataloged, recorded, and counted.

5-Y