What gift cards do we offer and what gift cards are sent by the plan?
How do we file a complaint
How do we file a compliment
100

Which Aetna Gift cards are sent out by us, and which Aetna Gift cards are not sent out by us? 

What is Aetna Duals NJ, OH, MI are sent out by us, and all other Aetna Gift cards are not sent by us. 

100

What app do we use to file a complaint for a member?

What is Slack.

100

What app do we use to file a compliment for a member?

What is Slack.

200

We send this Gift Card out to Certain Humana Members.

What is Humana- NaviStar.

200

Which workflow do we use to file a complaint against an MEC or a Clinician?

What is Visit Escalation- External.

200

Which workflow do we use to file a compliment for an MEC or a Clinician?

What is Visit Escalation- External.

300

What type of Gift cards do we offer BCBS members?

What is Target or CVS

300

What are the steps in filing a complaint after going to the correct workflow?

What is:

Manager name, escalate to, Request type, Notes, Clinician name (if it is a complaint against the Clinician), Members phone number, Member name, Member HICN, Plan name, member address.

300

What are the steps in filing a compliment after going to the correct workflow?

What is:

Manager name, escalate to, Request type, Notes, Clinician name (if it is a complaint against the Clinician), Members phone number, Member name, Member HICN, Plan name, member address.

400

What type of gift card do we offer Wellcare members?

What is Walmart or CVS.

400

How long does it take for a complaint to be investigated?

What is 10 business days.

400

How long does it take for a compliment to be sent to the clinician or MEC

What is 5 business days.