INSURANCE 101
Quizz "General knowledge" - 20 questions
total =
3
player(s)
Question 1
/ 20
select one or several answers
In the database on the Cost Sharing Grid - what three buckets always need to be filled?
OFFICE VISIT
ADMINISTRATION
PRODUCT
PHARMACY
Question 2
/ 20
select one or several answers
On the team page listed in COB Quick Reference document, what clarifying question can you ask the secondary to determine how the plan coordinates?
Does this plan consider a percentage of what is left over after the primary pays
If the primary paid more than what you would pay as primary will you still consider payment?
ALL OF THE ABOVE
Question 3
/ 20
select 1 answer only
On the team page listed in the Copay Training Guide, how do we receive request for copay
Patient complets online application
HCP faxes Copay application to Pfizer
Pharmacy mails in application
Question 4
/ 20
select one or several answers
What are some FDA approved uses for Inflectra
Chron’s Disease
Osteoperosis
Psoriatic Arthritis
Question 5
/ 20
select 1 answer only
What date will the Associate Engagement Survey be available
February 1st
March 1st
April 1st
Question 6
/ 20
select 1 answer only
On Thursday, February 9th, how many calls did the program have and what was the average speed to answer
8 calls 1 second
1 call 8 seconds
5 calls 8 seconds
Question 7
/ 20
select one or several answers
HIPPA Flow Chart for Inbound Calls Slide – what is required for patients
Blood Type
First and Last name
Social Security #
Question 8
/ 20
select one or several answers
HIPPA Flow Chart for Inbound Calls Slide – what is required for providers
First and Last name of patient
Patient favorite color
Verbally confirm with the caller the site name and location
Question 9
/ 20
select 1 answer only
HIPPA Flow Chart for Inbound Calls Slide- what is required for alternate contact
Patients verbal consent
Power of Attorney
All of the above
Question 10
/ 20
select 1 answer only
HIPPA Flow Chart for Inbound Calls Slide-what is required for other callers
Patients first and Last name
Two additional identifiers
All of the above
Question 11
/ 20
select 1 answer only
If approved for PAP, how is the medication received
At the pharmacy by the patient
Distributed directly to the physician's office
By the stork
Question 12
/ 20
select 1 answer only
According to the Inflectra program, what qualifies a patient as underinsured
Patients who have three insurance carriers
Patients who reside outside of the US
Patients who are unable to afford their copay and do not qualify for the Copay card
Question 13
/ 20
select one or several answers
When should the call recording disclaimer be given
On every inbound/outbound call
To each representative you speak to during your call
Only at the beginning of a call.
Question 14
/ 20
select 1 answer only
What is the allowed amount
Maximum amount on which payment is based for covered health care services
Maximum amount on which payment is based for covered chiropractic services only
None of the above
Question 15
/ 20
select 1 answer only
What is a copayment
Fixed amount you pay for covered services calculated by a percent
Fixed amount you pay for covered services
All of the above
Question 16
/ 20
select 1 answer only
What is Dual Eligible
Jointly enrolled in United Healthcare and Humana
Jointly enrolled in Medicare and Medicaid
Jointly enrolled in Medicare Managed and Medigap
Question 17
/ 20
select 1 answer only
What is MD Purchase
When the insurance bills the retail pharmacy directly
Physician purchases product and submits claims for reimbursement to the patient’s medical insurance
Purchase made by one MD from another MD
Question 18
/ 20
select one or several answers
What are some examples of Medigap plans
Supplement Plan A
Supplement Plan B
Nonstandard Supplement Plan
Question 19
/ 20
select 1 answer only
What is a deductible
The amount you owe for healthcare before your plan pays
The total amount you owe for all covered services
The amount you owe after your health plan pays 100%
Question 20
/ 20
select 1 answer only
Which two assistance programs do not require income guidelines
Pap & Copay
Drug Replacement & Presumptive
Interim & Copay
.
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