Specialty
Medicare Advantage
Physicians & Locations
Medicare/Medicaid
Mystery Box
100

What does a Podiatrist do?

Podiatrists are medical specialists who help with problems that affect your feed or lower legs. Podiatrists treat a wide range of conditions, including bunions, heel pain, ingrown toenails, etc.

100

How many chronic type plans does Humana offer and what is the name?

1 Plan - Diabetes and Heart (HMO C-SNP)

100

How many providers are currently at the Hillcrest location?

9 Physicians

100

What does QMB stand for?

Qualified Medicare Beneficiary

Individual = $1,275

Couple = $1,724

100

What is the process for receiving an IB call who has recently disenrolled from GMG and called due to text?

Warm Transfer or Email Patient Retention team.

200
Dr. Eduardo Marquez Zilli, who joined GMG in 2022, what specialty does he practice?

Neurology & Psychiatry

Neurology - Diagnosing and treating disorders of the nervous system, such as strokes, Parkinson's, etc.

Psychiatry - Diagnosing, treating and preventing mental illnesses and emotional disorders. 

200

How many new plans from Devoted will be offered in 2025?

3 Plans - Devoted Liberty, Devoted Giveback, Devoted Dual Plus

200

Dr. Medina, at the NC location, is accepting what type of patients?

New Managed Care Patients

200

What does SLMB stand for?

Specified Low-Income Medicare Beneficiary (SLMB) Program - Part B premiums (You must have both Part A and Part B to qualify.) 

Individual = $1,526

Couple = $2,064

200

What is the process for identifying duplicates in Salesforce?

Send to Daniel to merge records.

300

What does a Colorectal specialist do?

These specialists are unique because they have certification to diagnose and treat all conditions that impact the lower digestive tract up to and including surgery. Since intestinal issues can also impact other areas of the body, colorectal surgeons may also treat the liver, urinary tract, and female reproductive system.

300

How many new plans from SCAN will be offered in 2025?

1 Plan - SCAN MyChoice (HMO)

300

What provider at Northwest is certified in internal medicine and Gynecology?

Dr. Carla Acra

300

What does QI stand for?

Qualifying Individual (QI) Program - Part B premiums (You must have both Part A and Part B to qualify.) 

Individual = $1,715

Couple = $2,320

300
You made an OB call, the lead recently attended Beatriz event this year, on the lead record they had a appointment scheduled back in 2023 for Doreen, the lead would like to discuss options, who do you schedule with?

Beatriz

400

What does a Rheumatology specialist do?

A rheumatologist is a doctor who diagnoses and treats arthritis and other autoimmune and inflammatory diseases of the joints, muscles, and bones. They do lab tests, imaging scans, and other tests to diagnose these conditions. And they recommend treatments like medicine, joint injections, physical therapy, and occupational therapy.

400

How many new plans from United Healthcare will be offered in 2025?

2 Plans - UHC Dual Completed TX D004 & AARP MA CareFlex

400

What provider at the Southeast location is accepting New Managed Care and New Medicare (63 and over)?

Dr. Martha Guadamud Pacheco

400

What does QDWI stand for?

Qualified Disabled & Working Individual (QDWI) Program - Part A premiums only 

You may qualify for the QDWI Program if you:

  • Have a disability
  • Are working
  • Lost Your Social Security disability benefits and Medicare premium-free Part A because you returned to work

Individual = $ 5,105

Couple = $6,899

400

Who is the only CHA and/or CHA coordinator that only speaks English?

Josephine Rivera

500

What does an Oncologist Do?

Oncology is the study of cancer. Oncologists specialize in managing and treating patients throughout the course of the disease, which involves:

  • Confirming a patient’s initial diagnosis
  • Explaining the cancer diagnosis and stage
  • Providing all possible treatment plans and offering recommendations
  • Overseeing the course of treatment
  • Helping patients manage symptoms and side effects of both the disease and the treatment plan
500

(T/F) In 2025, we'll be accepting FFS under 65 years.

False

500

We recieved a termed patient wanting to come back to Dr. Olarte, who is the clinic administrator for this clinic?

Miranda Vigil

500

What is the out-of-pocket spending cap for prescriptions? 

The $2,000-a-year out-of-pocket limit for prescription medications applies to stand-alone Medicare Part D policies and drug coverage in Medicare Advantage plans.

500

Who do we send new or updated Agent of Record information to?

Iliana Escrigas