Week 10
Member Service Procedures Quiz
Test your knowledge with our Member Service Procedures Quiz! This quiz contains five multiple-choice questions, designed to assess your understanding of our policies and best practices in member service. Each question challenges your awareness of critical protocols in handling refunds, call timing, and more.
Key Features:
- Multiple-choice format
- Instant feedback on your answers
- Focuses on important service procedures
When we are requesting a refund from the member and call to advise they have already paid the provider what is the CCRs next step?
No action is needed
Call provider to verify if they in fact have been paid, then send a request to recovery to have the refund directed to the provider.
Send to recovery for them to direct the refund to the provider.
Advise the member they still need to refund us.
How much time can lapse before checking in with a caller ?
3 Minutes
2 Minutes
5 Minutes
30 Minutes
If you work the 5:30 shift, you should remain in available until the all clear email is sent.
True
False
What Blue Link do you look at if a member's wife calls in and wants a check reissued that is in her deceased husband's name.
Stop Payments
Provider payer Identfication Numbers
Stop Mailing of Check, EOB, Remit or Night Crew letter change
None of the above
Diabetes Screening CPT codes 82947,83036,83037 are covered with?
The code the provider lists in any dx pointer
DX code z13.1
DX code 000.0
None of the above
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