Week 10

A detailed illustration of a call center environment with representatives assisting members over the phone, emphasizing professionalism and communication, with various charts showing member service workflows.

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

5 Questions1 MinutesCreated by EngagingHelper452

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.

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

Week 10

Member Service Procedures Quiz

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