WellSense Sunshine Summer

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Across
  1. 5. Peer mentorship program
  2. 6. Document on file when only one legal guardian is on file
  3. 7. Facets routing group to route a grievance to
  4. 9. Medical eye doctor
  5. 10. Email address to Send tech grids to
  6. 15. Where can you guide members and providers for self-service tools
  7. 16. Monthly recognition program for SQM
  8. 19. Facets routing for Audit related claims
  9. 21. A period of time after joining a new health plan where previously established doctors/services are covered or honored
  10. 22. HFZ stands for
  11. 23. Word we say instead of "transfer"
  12. 24. ENT is another word for
  13. 26. Providers must use the IVR or Provider portal for…
  14. 27. WE GOT YOUR BACK SO YOU DON'T HAVE TO....
  15. 28. A PT-1 form is available through Mass Health for what service?
  16. 29. Network Row that signifies that a PCP accepts the East Boston Neighborhood Health Alliance ACO
  17. 31. MassHealth needs to renew coverage for all members to make sure they are still eligible and receive the best benefit they qualify for. This yearly process is called ______
Down
  1. 1. The new PCP Network ID now available only for the QHP Silver A, AII, or B, and ConnectorCare I, II, and III Plan members
  2. 2. MCO stands for...
  3. 3. Who can you transfer escalations to?
  4. 4. Who sends proof of coverage letters for MassHealth members?
  5. 8. Name of NH Medicare product
  6. 11. A specified amount of money that the member must pay before an insurance company will pay a claim
  7. 12. Acronym for First Contact Resolution
  8. 13. Senior Care Options
  9. 14. Where can you find a member's Care Manager?
  10. 17. If you are experiencing tech issues but still can take calls, where are you submitting a ticket?
  11. 18. Which department can provide PT1 assistance?
  12. 20. Doctor who specializes in women’s health
  13. 22. SharePoint resource used to confirm verification process
  14. 25. Call strategy we use to make sure caller understands resolution
  15. 30. How often is a routine eye exam covered for adults