Member Services Rep Review

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Across
  1. 4. we are flex access through ______
  2. 6. cpa comes from ____
  3. 8. CVS, walgreen, walmart...
  4. 9. phone system
  5. 10. what to do at end of conversation/call
  6. 11. what is the default status
  7. 12. 1st hipaa
  8. 15. a request made by the pharm to the mbr insurance plan in order to process primary coverage for med
  9. 18. 4th hipaa
  10. 20. flex access is a _____ of your blue
  11. 21. blue shield plan
  12. 23. what tab is knowledge base found
  13. 28. mbr has no profile and we cover the med
  14. 29. we only deal with ____ drugs
  15. 31. how many hipaa do we verify
  16. 32. BCBS
  17. 33. 3rd hipaa
  18. 36. what are the two main things we do as agents/reps
  19. 38. closing the call with...
  20. 40. PBM
  21. 41. R&R
  22. 42. where we locate drug data base an note documentations
Down
  1. 1. source of truth
  2. 2. HDHP
  3. 3. mbr have to be enrolled in ____ to utilize FA
  4. 5. once pharm confirm cpa we change status to ____
  5. 7. how many days do you have to complete a task
  6. 13. the company we work for
  7. 14. mbr dont want to use FA benefit change status to ____
  8. 16. cpa will always be billed as _____
  9. 17. 8883023618
  10. 19. what info we ask from the mbr when call in about a high bill, DOS and ____
  11. 22. what do you always state in your greeting
  12. 24. who to assign accredo task to
  13. 25. DOS
  14. 26. please allow 1-2 ______
  15. 27. 5th hipaa
  16. 30. mbr has different insurance or passed away
  17. 34. alway add a _____ to each call
  18. 35. cpa
  19. 37. 10 or less
  20. 39. 2nd hipaa