Scripting
Banking
Demographics
Medical Section
Drilldown
100

True or False. If the applicant does not provide an acceptable response to the e-fulfillment question, it should be tagged as an Auto Fail.

False

100

True or False : Asking their position during banking is not required- we just need to make sure we are talking to the authorized bank acct holder when obtaining bank authorization.

True

100

How many duties and responsibilities do we need to get from the applicant for their employment details?

2
100

"I don't remember the specific date"

What should the verifier tag if this is the applicant's response?

More than 5 years ago

200

When do we need an email address during the payment section?

Payor is a third party and the mode of payment for initial is credit card

200

What is the correct way to verify the Date of Birth of the applicant?

Ask them to provide their DOB

200

What is the next step to do after you ask the Tobacco question?

Ask if they had used it for the past 12 months, if yes, select yes, then ask what type of tobacco products  they use

300

If the applicant asked if we are United Healthcare, how should we respond? Select all that apply.

We are a company under United Healthcare

300

Applicant asked to change the routing number on our file and retain the payment preference. What is your next step

Obtain the routing number - re-confirm - proceed to the next script

300

If the applicant had hysterectomy due to UTI, which drilldown should we follow?

Female Repro DD and UTI DD

300

True or False. We should complete Lineman DD for Electricians.

False

400

If the applicant ask for you to repeat a specific part of the script you just read, what will you do?

Repeat that specific part that they asked for you to repeat

400

For this part of the script " Is anyone applying for coverage currently prescribed a GLP-1 drug, such as Wegovy, Ozempic, Zepbound, or Mounjaro?" the applicant said "I have taken it previously but I'm not currently" and upon probing, they haven't taken it within the last 12 months. What action should be done next?

Mark the question as a "No", no need to do RX DD

400

If the applicant mentioned their previous medication has been discontinued and they are prescribed with a new one, what should the verifier do next?

Document both medications - include in the notes that the other medication is discontinued