Letters
Flashcard
•
English
•
12th Grade
•
Hard
+6
Standards-aligned
Wayground Content
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15 questions
Show all answers
1.
FLASHCARD QUESTION
Front
Can you send letters from Create Correspondence during an active call?
Back
False
2.
FLASHCARD QUESTION
Front
What company code applies to the DMHC Process?
Back
200C
3.
FLASHCARD QUESTION
Front
What must you do to complete the exempt grievance task if a member calls in looking for a claim that is not on file?
Back
Send the required letter.
Tags
CCSS.RI.11-12.4
CCSS.RI.7.4
CCSS.RI.8.4
CCSS.RI.9-10.4
CCSS.RI.9-10.4
4.
FLASHCARD QUESTION
Front
What is needed to complete your exempt grievance task if a member's Prior auth hasn't processed due to missing medical records?
Back
Send the required letter.
Tags
CCSS.RI.11-12.3
CCSS.RI.11-12.5
CCSS.RI.8.3
CCSS.RI.9-10.3
CCSS.RI.9-10.5
5.
FLASHCARD QUESTION
Front
If you are reviewing multiple claims and one is not on file, what must you do to complete the exempt grievance task correctly?
Back
Open a second Manage claims task to document claim not on file.
6.
FLASHCARD QUESTION
Front
What is the purpose of sending a required letter in grievance tasks?
Back
To formally communicate necessary information or decisions to the member.
Tags
CCSS.RI.11-12.3
CCSS.RI.11-12.5
CCSS.RI.8.3
CCSS.RI.9-10.3
CCSS.RI.9-10.5
7.
FLASHCARD QUESTION
Front
What does the term 'exempt grievance task' refer to?
Back
A task related to grievances that are exempt from standard processing rules.
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