Monday
AEVS stands for this
Automated Eligibility Verification System
______ calls 911 during a Crisis Call.
Management
CD-MMIS stands for
California Dental Medicaid Management Information System
R & S stands for what
Replace and Substitute
The two types of Crisis Calls
Passive and Imminent
A caller is told this after a previously reported outage has been resolved.
Reassure the caller that the system outage has been resolved and fully assist the caller.
The four forms of Alternate English Language
Braille, Large Print, Audio CD, Data CD
In CD-MMIS what screen is worked in?
13
Delimiter code 10 means this
Denial of procedure
What language is available in alternative formats?
English
If a system outage is found what do you tell the member?
Reassure the caller the outage is actively being worked on and follow the steps in the SOP for assisting the caller as much as possible.
What are the two most important things you can provide a person in crisis
Empathy and compassion
what function key do you use to store a document in CD-MMIS
f9
What does CDMMIS stand for?
California Dental Medicaid Management Information System
what screen is the FAME check done on?
If CRM is down, what procedures do you follow?
you still will be able to assist the callers as much as possible and provide general information. You can verify HIPAA through CD-MMIS before releasing any PHI.
How can a member change their language preference?
Contacting their county Medi-Cal office
what does DCC stand for?
Data Control Center
what function key do you use to store a document
F9
What can we see in a Claim/TAR Index?
•Document Control Numbers
•Document Types
•Billed Amount
•Provider
•Last Action Taken
•DCN Status
When receiving a call regarding a system outage, agents will follow what steps (3 of them):
1) Confirm the system outage and assist the caller as much as possible.
2) Send a message and/or email to your Team Lead or Supervisor including:
o System(s) and caller type(s) affected.
o Time call was received.
o System(s) and/or website(s) you used to confirm outage.
o Screenshot of error received (if applicable).
3) Resume taking calls following the steps outlined above for helping callers during a system outage.
Aid code D2 means what in FAME?
What keys will you be using on your keyboard that are not normally used? 6 of them
Function Keys, TAB, Pause/Break and Page Up, End, and Num Lock
In CD-MMIS where must a document be manually routed if it needs to be made "live" again
005, Professional Review (5C)
What does NUMBER mean on the "PAID CLAIM INQUIRY " page
Billing Provider ID with Service Office Number