Benefits & Coverage SPA
Which four national ancillary vendors have Dexcom products available? Hint: search for "diabetes"
Diabetes > CGM Vendors
Which job aid do we use to determine who is primary in an auto accident? Hint: search "auto"
Coordinating with Automobile State Job Aid
COB > COB Research > Coordinating with Automobile Coverage
what information do we have to tell the member will be requested from them when they require a call back? Hint: search call back
Hipaa> Member call back authentication
What acronym represents priority when triaging patients?
ABC: Airway, Breathing, Circulation
Leonardo da Vinci's “Mona Lisa” hangs in what museum?
The Louvre Museum in Paris
What benefit would we quote for a telehealth visit? Hint: think AVA section
Physician's Office Services - Sick
What piece of personal information do we need to verify prior to ordering replacement ID cards?
Address (must be on file)
ID Cards > Replacement Cards > Step 3
Do we need to verify HIPAA to speak to other insurance agent regarding eligibility?
There is no need to verify, information disclosed should be to provide or request payment information, OI coverage date information, etc.
In/Outbound Calls > Call Authentication Process > Step 2 > Exceptions (blue link)
In addition to conditions of the gallbladder, bile ducts, and pancreas, a hepatologist is a doctor who specializes in the treatment of what large internal organ?
Liver
What do you call a group of flamingos?
A flamboyance
If member is not willing to self-service to obtain the transition of care form, what ways are we able to send it? Hint: search for "TOC"
Email, Fax, Mail
Transition of Care/Transition of Authorization/Continuation of Care > TOC/ TOA/ COC Processes > Medical - UNET, PRIME, USP (UH & RV) > Step 8
A member is calling in to check the status of their handicapped child's application. Where can we check the status? Hint: search "handicapped"
MCR Disabled Dependent Tool
Dependents > Handicapped Child > Process > Submitted
How does a member get a password removed from their account?
Must submit request in writing with their signature.
Security/Auth/Restriction/Complaint > Password Requests/Resets > Requests to Change/Remove Password
The dish that OR staff put discarded items like soiled gauze and surgical tools in is named after which organ that it’s shaped like?
Kidney
Which country is the largest in the world?
Russia
Until what age can someone receive the Gardasil9 vaccine? Hint: search "vaccine"
45 (ends on 46th birthday)
Vaccine Benefits > Receiving a Vaccine > Step 4: Blue link for Preventive Care Services: Vaccine Codes
A member recently got married. They have been insured by their father and plan to keep coverage, but will also be added to spouse's plan. Who is primary?
Father's plan
COB > Longer/shorter rule (step 6)
What address does a member need to send their password removal request to?
UnitedHealthcare
UnitedHealth Group Privacy Office
P.O. Box 740815
Atlanta, GA 30374-0815
Send/Receive > Addresses and Phone Numbers > UnitedHealth Group Privacy Office (IRG)
Anesthesiologists often give patients which dissociative anesthetic that helps make sure they won’t remember surgery?
Ketamine
In a quest to replace rubber, James Wright accidentally invented what common toy?
Silly Putty
Which places of service are eligible for reimbursement through Care Cash? hint: search for "care cash"
Office, Urgent Care, Telehealth
Care Cash > Overview > Note
A UNET member is 63 on Medicare for disability. Their spouse is the subscriber who is still actively working. Is UHC or Medicare primary?
UHC
Medicare > Medicare Entitlement & Updating > Determining Primary Payer
We verify HIPAA and caller has ability to receive general information. Can we provide the alt ID?
Yes (if there is not a confidential communication on file)
Confidentiality > Home > Disclose Definitions (blue link)
Which bacterial infection, whose symptoms include a sore throat and fever, and whose name derives from the Greek for “skin,” was the cause of death of the eldest daughter of Grover Cleveland?
Diphtheria
What type of bird is famous for laying their eggs in nests of other species of birds?
Cuckoo bird