What is the correct email address for the G&A team when sending additional information or a member's request to cancel?

Appeal Process Flashcard

Flashcard
•
English
•
12th Grade
•
Hard
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15 questions
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1.
FLASHCARD QUESTION
Front
Back
GNABCC@anthem.com
2.
FLASHCARD QUESTION
Front
What must be obtained when completing a verbal DOR?
Back
HIPPA Verification
3.
FLASHCARD QUESTION
Front
If a member's claim has been denied as not medically necessary, what type of request is this?
Back
Appeal
4.
FLASHCARD QUESTION
Front
What is the purpose of verbal authorization according to the document?
Back
To ensure all interactions are completed from end to end
5.
FLASHCARD QUESTION
Front
What must be documented in the 'who' box for a verbal DOR?
Back
Name and relationship of the caller
6.
FLASHCARD QUESTION
Front
What is a verbal DOR?
Back
A verbal Document of Record (DOR) is a process to document verbal communications regarding member requests.
7.
FLASHCARD QUESTION
Front
What is the difference between a grievance and an appeal?
Back
A grievance is a complaint about the service or treatment, while an appeal is a request to review a denied claim.
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