SC REVIEW 2.0
Authored by Fatima De La Cerna
Specialty
Professional Development
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5 questions
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1.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
When Completing a pre-certification search, there are several fields you can search by under Additional Options. Which option gives you a description of a disease or illness?
Provider Specialty
Diagnosis Code
Benefit
Physician and Medical Service
2.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
A provider calls on behalf of the member that wants to file a Grievance and Appeals. What information would you share?
Nothing
Submit grievance and appeal for member
Submit grievance and or appeals in writing.
Transfer to Grievance and Appeals CSR
3.
MULTIPLE CHOICE QUESTION
1 min • 1 pt
You are ready to begin working on service requests. By clicking this, you will get the oldest and most urgent items first.
Refresh
My Worklist
My Recent Workbasket
Get Most Urgent
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A provider indicates that she is also waiting for someone to call her back regarding another issue. Where can you view other promised actions for this provider?
View the Interaction tab of the composite screen
View the My worklist
Click Get Most Urgent
5.
MULTIPLE SELECT QUESTION
1 min • 1 pt
Which of the following Search Inventory types can you search for? (Select all that apply)
Interactions
Other Actions
Inquiry Tracking
Service Requests
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