"Are you the person I would speak to about my Medicare questions?"

The following are all qualifiers for Medicare EXCEPT:

Link the service to its corresponding part of Medicare.

An insurance plan that keeps costs low by having you coordinate all care through a Primary Care Physician (PCP) is:

A call can be validated during authentication using the member's DOB, PCP name, and MMN.

PHI stands for:

Which act enacted in 1996 regulates how a member's PHI stays secure?

A CPHI can file a grievance on behalf of the member.

A CPHI can schedule a trip for a member.

Unauthorized callers can be assisted with all of the below EXCEPT:

Which of the following is true when you are obtaining verbal consent from the member?

Which 2 STCs should be offered and documented with EVERY call?

You should update the MMN field if it is blank, even if the member doesn't want to provide a name.

Which self-service option allows member to request an ID card, review benefit information, and perform a provider search?

Members can earn ______ Rewards points for completing the Real Age Test.

Link the website to its matching task.

When using InComm PSP, what would you click to order a gift card on the member's behalf?

Are we able to assist members who ordered an eGift card, but realize it was sent to the wrong email address?

Member Rewards points are posted to ShareCare _______________ after CarePlus receives the claim.

Members are able to upload medical documents from their PCP to ShareCare to earn points for their annual wellness visits.

When a member indicates they do not wish for further research or resolution regarding a grievance, which STC will you document in CSIM?

"I don't have access to the internet at home. How do I earn my 20 points if I can't get online to complete this RealAge Test I keep hearing about?"  

"I'm new to your plan, but I just discovered that my ENT doctor isn't in your network.  You all should do a better job of telling people up front who you don't cover on your plan. I can't just go find a new doctor!" How would you document this call?

"The driver I had the other day who was taking me to my cardiologist was on his cell phone the entire time.  I was afraid the whole trip we would get into an accident.  I made it there without a scratch, and he seemed like a nice enough person, but it certainly was stressful."  How would you document this call? 

Which Internal STC is used to document a call that requires a third-party translator?

When redeeming a member's Rewards points for a gift card, how can you send the gift card to an alternate address?

Part C appeals are a result of a denial for all of the following EXCEPT:

Remaining CareEssential Card balances roll over to the next month.

Yani calls asking if all her funds are still available from the last 4 months on her CareEssentials Card. She thought she had lost the card, but she found it in her car.  How should you assist Yani?

All transportation grievances are ONLY documented as G011M.