PCP Change
ID CARD Change
Benefits
Pharmacy
Demographic Change
100

You can search _______ to locate a provider?

Provider Online Directory

100

How many days does it take for an ID card to ship to member's house?

7-10 business days

100

During a Medical Benefits call, Members should never be transferred to ________. 

Utilization Management 

100

Where do you go to check Pharmacy Claims?

CVS CareMark under Customlinks

100

Can a member change their physical address with Molina? 

No, Member must contact ODM or DOM 

200

Where can we look when transactions fail at MYMolina.com

the top right-hand corner of the member's account in Salesforce.

200

You must verify _______ before you can send the Member's ID Card? 

The Member's PCP and the Member's address

200

Where in Salesforce do we check Member's Eligibility? 

Eligibility Check

200

Where do you check for Member's PA?

Managed Overrides 

200

When completing your notes, what are the five main questions that need to be answered? 

Why, What, Who, Where, When

(The Five W's)

300

What information must you get from the Provider on a PCP Change Call? 

Are they in Network? Do they accept the insurance?  Are they accepting new patients? How soon can a Member get an appointment?

300

Do you have to educate the member on MYMolina.com

yes

300

Can you give Member Benefits if their account is inactive?

No

300

Where do you go to look up prescription names?

Drug Search on CVS Caremark

300

What do you do if you receive a call from a Virginia Member after you HIPAA verify? 

Warm transfer to a Virginia Rep

400

What do you click on when you want to search for additional criteria in a PCP Change?

Advanced Search

400

Can a minor order an ID card? 

No

400

How many legs does a member use to go from their home to the doctor's office? 

1 leg

400

What list can a member and a doctor review prior to prescribing a medication? 

The preferred list

400

Where do you go to update a Member's language? 

Primary language dropdown

500

Grandma called in to do PCP Change for grandchild who is over 17 can we complete the change with verbal consent dated July 16 2022

No she can't

500

Can Member print ID card from molinahealthcare.com

NO!!!!!!!

500

Can employees look up their benefit information?

NOPE!!!!!!!

500

What is the processing time to complete a pharmacy PA? 

24 hrs

500

Can a representative with verbal consent do a Demographic Change?

No

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