Show:
call handling
Claims
benefits and eligibility
education
Miscellaneous
100
Here i will find how BCBSNC would like me to open and close my call.
What is the call script?
100
This job aid will help me relay information on claim
What is reviewing claim status?
100
This job aid will help if the member has a new addition to the family.
What is newborn enrollment job aid?
100
This nurse line is availble to members who need 24/7 advise from a medically trained nurse?
What is health line blue?
100
I need to transfer to another department.
What is Helpful Numbers?
200
I need help relaying deductible information to the member
What is benefits flow?
200
This will help me ask appropriate questions to help increase the chances of first call resolution.
What is probing questions?
200
This job aid is useful when a member may have more than one insurance and has questions on providing or updating this information?
What is coordination of benefits ?
200
This is the website member can find and use on their own time.
What is bcbsnc.com
200
Use this to to help find PPA and Limits for pharmacy prescriptions.
What is Prior Review and Limitations?
300
This job aid will help me choose the right subject and category for a call.
What is documentation expectations?
300
Here is a list of YES or NO questions to help determine if a claim should be routed for an adjustment
What is Claims Adjustment Checklist
300
This job aid will tell me everything I need to know if I can't hear very well and I'm considering getting durable medical equipment to assist
What is Hearing Aid Job Aid
300
When on a claims call this will help me guide the member to finding the information on their own.
What is Online EOBs
300
This will help you walk a customer to view thier information online.
What is Customer Service Blue Connect Job aid and FAQ
400
This job aid will help me when a member is calling me names and misrepresenting my character.
What is process for verbally abusive calls?
400
This job aid will give me more information on the most frequenct claim denials
What is Power MHS top claim denials?
400
This specific benefit will help with any calls where the member has or has had procedure for replacement organs?
What is Transplant?
400
If I educate the member about this feature they will not call customer service to try and make a payment.
What is Pay by Phone
400
I am curios about enrolling in a Health Saving Account.
What is Individual Adjustments HSA Enrollment
500
This job aid will help me to better my hold techniques ?
What is quality guidelines: hold and silence?
500
The member turned 65 yrs. old soon and needs to know what will happen if they get medicare.
What is Medicare Crossover ?
500
Here I can see if the service will be covered 100% of the allowed amount.
What is Preventative Care Coding Guide
500
Here a member can research their own RX medications.
What is My Prime
500
I can use this FACETS application to find ID cards, EOB, member letters etc.
What is WEBNOW