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Tricky Open Enrollment Questions
Created by alyssajuda
Not group specific.
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If a member goes into the Emergency Room, and have an MRI during their visit, what copay applies?A. MRI copay B. ER copay and MRI copay C. Emergency Room copay D. Outpatient Hospital
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If a mom calls us in regards to a benefit for her son, where is this conversation noted?A. Son's name B. Mom's name C. Subscriber's name D. Both mom and son
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Where do you enter a member's email address in Kustomer?
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If a prospective member is asking if their procedure requires authorization, and their provider is in-network, how would you answer?
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On the Cheat Sheet, where would you find information such as plan payroll deductions and group number?A. Admin B. Benefits C. Exclusions D. Glossary
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If an injection done in the office, is not on the complex drug list, what is the member responsibility?A. Place of Service Copay B. Complex Drug Copay
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If a member has history of cervical cancer, and needs a pap smear every 6 months, all pap smears are covered as preventive.A. True B. False
Tricky Open Enrollment Questions (Answer Key)
Created by alyssajuda
Not group specific.
-
If a member goes into the Emergency Room, and have an MRI during their visit, what copay applies?A. MRI copay B. ER copay and MRI copay C. Emergency Room copay D. Outpatient Hospital
-
If a mom calls us in regards to a benefit for her son, where is this conversation noted?A. Son's name B. Mom's name C. Subscriber's name D. Both mom and son
-
Where do you enter a member's email address in Kustomer?Edit Customer Properties > Shared Email Address > Update
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If a prospective member is asking if their procedure requires authorization, and their provider is in-network, how would you answer?It is the provider's responsibility to check if this requires authorization, and we can call their provider to advise of this and the phone number associated
-
On the Cheat Sheet, where would you find information such as plan payroll deductions and group number?A. Admin B. Benefits C. Exclusions D. Glossary
-
If an injection done in the office, is not on the complex drug list, what is the member responsibility?A. Place of Service Copay B. Complex Drug Copay
-
If a member has history of cervical cancer, and needs a pap smear every 6 months, all pap smears are covered as preventive.A. True B. False
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