Action Codes
Care Gaps
Scenarios
Phone Numbers
Random
100

if a member stats they can schedule their own health screenings

Educated

100

go to first!

Winner Winner Chicken Dinner!

100

A member is busy at the moment, what would you do?

offer a callback request

100

what is the number for Signify?

Signify Health #855-984-5121

100

Points

Points

200

swap points

swap points
200

who can schedule a Colorectal Cancer Screening?

Gastroenterologist

200

gain 200 points and pick next question for other team

Pick next question for the other team

200

go to last

go to last

200

Bob Barker question

is a 15.6oz sharing bag of Starburst higher or lower than $4.50

Higher: $4.59

300

If a member does not have Diabetes but care gap shows Diabetic A1C, what action code would you use?

Members Denies care gap

300

no points

ha

300

A wife is calling on behalf of the member and is not listed on account. what would you tell the members wife. 

I am sorry, but since you are not listed as the POA we are unable to continue this call, if you can please let the member know to give us a call back at his convenance that would be greatly appreciated. Thank you

300

what is the phone number for Fitness in TX

Silver & Fit (ASH): 877-427-4744

300

What famous Rock Star would bite the head off a bat?

OZZY

400

I want to play a game

-Jigsaw

Keep 400 or have other team lose 300

400

what health screening can Signify provide?

  • Fecal Immunochemical Test (FIT) - Screening for colorectal cancer
  • Peripheral Arterial Disease (PAD)
  • Chronic Kidney Diseases (CKD)
  • Hemoglobin A1c
  • Diabetic Retinal Exam
  • Bone Density Screening
400

a call disconnects very early due to the dialer latency, what should you do? name the steps?

disposition as "Disconnected Call" you will then go into manual dial status to call the member back

Agents must select the correct work group for the campaign they are calling for.

400
a member wants their friend to enroll in Wellcare, what number would you provide to the member?

Enrollment #888-908-5252

400

What are some examples of "Right Party not Reached"

ex: disposition

Busy Signal, Refused Call, Voicemail/Not left, and Wrong Number

500

If a member does not want you to schedule an appointment even after rebuttals were mentioned, what action code would you use?

Educated

500

What Provider can schedule a Osteoporosis Management appointment?

Orthopedist

500

If a member objects abruptly after offering a rebuttal what would the closing phrase be?

"okay, I'm sorry I was unable to help you today. It is important to schedule a preventative care appointment with your PCP soon to check your overall health. if you need assistance in the future, please call us back at 855-521-9681 Monday-Friday from 8:00am-5:00pm. TTY users may call 711"

500

What is the number for Wellcare Member Service?

1833-444-9089

500

What are some examples of "Right Party Reached"

ex: disposition

Call Complete, Callback Requested, Not interested, and Manual Call Back Requested