HIPAA
Medicare
Random
Enrollment periods
Random 2
100
What is PHI?
Protected Health Information
100
What is Medicare Part B?
Medical Coverage.
100
In popular 1970's sitcom "The Brady Bunch", what was the name of the mother character in this show?
Carol Brady
100
An election period in which a customer becomes eligible (move out of service area, loss of SNP, etc)
Special Election Period
100
What date did we begin training?
July 31, 2023
200
How many pieces of HIPAA must be verified if the caller is NOT IVR authenticated?
Three
200
What is CMS?
Centers for Medicare and Medicaid Services
200
How many Super Bowls did the NFL's Dallas Cowboys win in the 1990's?
Three
200
What is IEP? (Initial Enrollment Period)
The first time an eligible person can enroll in Medicare.
200
What does Ashley cook in the microwave?
Unfortunately, spaghetti
300
If a customer would like to appoint a person to file a grievance, request a CD, OD, or an Appeal on their behalf the __form may be used.
AOR-Appointment of Representative
300
A "Medigap" plan is also known as what?
Medicare Supplement
300
Stephanie Lynn Nicks is an American singer and part of a very famous band. What is their name?
Fleetwood Mac
300
Which election period occurs October 15-December 7?
AEP-Annual Enrollment Period
300
What is the name of this musical artist?
Ronald Isley aka Mr. Biggs
400
True or false:
When verifying HIPAA, an acceptable piece of information we can collect from the member is their Driver's License number.
False.
We can accept the following:
First and last name, DOB, phone number on acct, Cigna Id or MBI, or the physical or mailing address(street address, city, state and zip)
400
True or False:
If a member has an HMO POS plan, this means that every benefit offered in the network is offered out of the network as well.
False. This plan offers limited benefits out of network. The health plan determines which benefits are offered out of the network.
400
How many continents are there?
7. Africa, Asia, Europe, Australia, North America, South America and Antarctica
400
December 8th-December 31st; April 1st-October 14th, what are these dates referred to as?
Lock-IN Period
400
What is the most common surname in the United States?
Smith
500
What does H.I.P.A.A. stand for?
Health Insurance Portability and Accountability Act
500
In order to enroll in a Cigna MA plan, what is the eligibility criteria?
Have medicare parts A & B and live in a service area where Cigna offeres MA plans.
500
What is the name of this McDonald's character?
Grimace
500
If it is during the Lock-In period and the member has no SEP, when can they make changes to their Medicare coverage?
AEP or OEP
500
What is the oldest soft drink in the United States?
Dr. Pepper. It was originally made in 1885 at Morrison's old Corner Drug Store in Waco, TX