Knowledge Check
Member Services Knowledge Check
Test your knowledge on crucial member services protocols with our engaging quiz! Perfect for professionals and anyone looking to understand better the nuances of healthcare administration.
Quiz highlights include:
- 10 carefully crafted questions
- Categorized for easy understanding
- Multiple choice and checkbox formats
Select the correct EMME code for Consent Form
ME2798
ME0002
ME2327
ME2427
When Flex card is Expired it will show a Denial Code.... Type the correct code (no spaces)
53
41
35
54
If the member is in Iowa and requests a retroactive PCP change, is it possible?
Yes
No
Approval is required
PARE could include some of the following providers, check all that apply
Allergologist
Radiologist
Emergency Room
Podiatrist
Nurse Anesthetist
What is considered a Medical Benefit for Vision
Diver's license exam
Cataract
Glaucoma
Myopia
Conjunctivitis
If rollover funds for HFC is requested due to a health matter, could we grant it?
Yes
No
Tier exceptions review requests are allowed during which stages?
Deductible
Initial
Coverage Gap
Catastrophic
When escalating to Phone a Friend, which hashtag should we use in our case?
#PPF
#CRU
#PAF
In RxNova, the error "Submit Claim to Primary Payer" shows as:
092
080
090
060
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