Medcoach Rtl - Day 6 & 7

4 Questions

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Coaching Quizzes & Trivia

This quiz is taken by all new staff during MedCoaching.


Questions and Answers
  • 1. 
    Claim 3410291783: What is the member's copay?
    • A. 

      $25.00

    • B. 

      $10.00

    • C. 

      $0.00

  • 2. 
    The status field must be populated with "NEW" before logging ALL task routes.
    • A. 

      True

    • B. 

      False

  • 3. 
    When Call Logging a task route, the correct sub-action is:
    • A. 

      CS, Appeals, DMR, Grievance

    • B. 

      CS, Appeals, PNM, Grievance

    • C. 

      CS, Appeals, PDP, Grievance

  • 4. 
    A member calls and requests that a MRF be faxed to the doctors office for the THIRD time. We do not show that a MRF has been received back. How do you handle this call?
    • A. 

      Re-fax the MRF to the doctors office using the fax # from the previous call log

    • B. 

      Fax the MRF manually to the doctors office, using the fax # given by the member

    • C. 

      Offer to call the doctors office, verify the correct fax # and then refax the MRF