Week 10

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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