source
which source is used for test claims
050041
what are the 3 different points in which the ccr can access the opportunity messages (hint- look in 0534290
check teams for answer
what do we need to validate a call
name dob zip MID
Find the senior team number
877-209-5167
a member wants to check to see how much they have left before they meet their deductible? (hint- 061776)
the accumulations tab
where can you find vaccine information
062960
desne must read from teams (hint use -064997) Should you still file the CDA support task
yes
can you help me with my power bill ?
Yes I can help you with .....
where in crm do you go to help a member correct their cob information (hint 061914)
submit a support task to the cob team for research
a member calls to request a paper copy of their eob and they do not have access to a computer what should you access in compass to get the copy of the eob sent to the member ? ( hint - 061763)
oneclick
how can you find claim information
061799
check with desne fazal (hint 078799)
it is termed and cms authorizes a rollover to ensure coverage if member fails to find new plan
do we ever hang up on mean angry yelling customers ?
NOOOOOOOOOO
where can a silverscript member go online to find out information on their drug benefits? (hint 045787)
aenamedicare.come and caremark.com
a member wants to verify the lis has been updated to their account how should you verify the members lis status ? (hint 062987)
marx
override information and early refills
118356
check with desne (hint -062901) appeals dixon
click the med d landing page then go to premium billing and then to details
what do we always do before hanging up a call ?
recap
reject code 66
patient age exceeds max age
a member calls mad and yelling bc they are out of medication she states she forgot to order it in time but we should know better and have shipped it is this a grievance?
no this would be the members fault
where can you find them all
089595
when medication is not covered by insurance the member will have to pay the whole amount it does not go in with the accumulations
what do you need to memorize ?
nothing always use your source
reject 72
refills not covered
desne is a new ccr and answers a call which they think might be a test call . The member states they want an interpreter fir farsi . What should desne do ?(hint 028005)
confirm language and calmly conference the caller to their line