Medical
MRI is an example of _______
Diagnostic Radiology
PMG details is used to:
Find if an account is delegated.
Send informative email will send ________ information
Non - PHI
Colonsocopy, Mammograms, are example of _________________.
Preventive services
Hold time, request for supervisor, Social media request can be found under the _______________ in KC.
Does the members plan have OON benefits?
NO
In the _________ tab you can find the past agents tasks and notes
Recent Interactions
In DOC360 I can reprint member IDs. TRUE/FALSE
FALSE
Preventice services have a copay of ______
0 USD
The job aid to use when disclosing PHI information to callers is:
HIPAA - Index
What is the name of the fitness program?
Renew Active
___________ is used to add an authorized representative on the members account.
Manage Auxiliary Persons
EOB, EOC, Formularies, provider directory will take ________ to arrive at the members home
10-13 business days.
What is the members network type?
Gatekeeper.
Empathy is a skill. TRUE/FALSE
FALSE
How much will the member pay for a back x ray?
0 USD
What task can I use to add a phone number?
Update Member Profile
In DOC360 I can _______, ________, & _______ EOB, Billing invoices and more!
View, Download, or Reprint
The member has a medical deductible of ____
NONE
HIPAA verification needs
1.
2.
3.
1. Member ID (Medicare ID or Permanent address)
2. Full name
3. DOB
How much is the annual maximum of dental benefits
1,000
In order to active secure email, the member must ________ & I should use ___________ to activate secure email
be registered in the web portal & Update member profile.
ID cards will take _________ to arrive at the members email.
7-10 business days for mail. we don't send ID cards by email.
The members PCP is _______
RETAMOZO, LUIS A
Smiling is _________
mandatory prro.