More Provider Review for Core Final

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Across
  1. 7. When an agent see this color scripting this is an indication, they agent must read this particular piece of scripting verbatim.
  2. 9. The term used to describe someone who has both Medicare and Medicaid.
  3. 10. The process used to evaluate the qualifications and credentials of a provider.
  4. 11. This online report is available to providers to review all their authorizations.
  5. 13. When a provider owes WellCare money back on other claims previously submitted you will see this status on claims going forward until the amount owed is paid back to WellCare.
  6. 14. Participating providers are required to re-credential how often?
  7. 15. The ability to identify with, understand, and appreciate another person's feelings, motives, desires, and situation.
  8. 16. The call driver used if the provider is asking about copayments or deductibles.
Down
  1. 1. The button you use when a provider cannot be located using basic advanced searches.
  2. 2. The criteria necessary to be eligible for Medicaid.
  3. 3. Medicaid is funded and ran by the conjunctive work of who?
  4. 4. Paper claims must be submitted with what color ink on what color paper?
  5. 5. This is when a member has another insurance besides Medicaid.
  6. 6. The call driver used should the provider have questions concerning the timely filing guidelines.
  7. 8. The call driver used if a provider is asking about a possible other insurance a member may have.
  8. 12. What type calls must be documents in CareConnects?