Team 1
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Team 2
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Teams
Name
Score
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Loading
15
×
Which tool do you view your sched in?
Verint
Oops!
Check
Okay!
Check
15
×
Who determins eligibility?
BOS
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Check
Okay!
Check
×
monster
Reset all scores!
Oops!
×
star
Double points!
Okay!
×
rocket
Go to first place!
Okay!
×
thief
Give points!
5
10
15
20
25
15
×
How long does a claim have to Reprocess?
45 days
Oops!
Check
Okay!
Check
×
thief
Give points!
5
10
15
20
25
×
shark
Other team loses 20 points!
Okay!
×
gift
Win 25 points!
Okay!
×
thief
Give points!
5
10
15
20
25
15
×
What is a referral?
When PCM/provider places a request to send a member to a specialist
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Check
Okay!
Check
15
×
t or f: TRR has prime like benefits where you have to have direct care.
f. it is like select
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Okay!
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15
×
a percentage of a health cost
cost share
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Check
Okay!
Check
15
×
What tool assists to determine if an Auth or Referral is neccessary?
RADS
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Check
Okay!
Check
15
×
Caller states they recieved a bill for an MRI and they never had an MRI. what do you do?
Suggest FWA
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Check
Okay!
Check
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lifesaver
Give 20 points!
Oops!
×
fairy
Take points!
5
10
15
20
25
×
shark
Other team loses 5 points!
Okay!
×
baam
Lose 15 points!
Oops!
15
×
What system is the system you will take calls with?
Amazon Connect
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Check
Okay!
Check
15
×
How long does a provider have to submit a claim?
90 days
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Check
Okay!
Check
15
×
when Exactly is open enrollment?
second monday in November to the second monday in december
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Okay!
Check
15
×
a flat healthcare rate
copayment
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Check
Okay!
Check
15
×
T or f: If I am a non-network, participating provider I don't file your claims.
False
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Check
Okay!
Check
×
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