Received callfor claimreversal andsuccessfullyreversed theclaimYou helped apharmacistsuccessfullysubmit a DUR.Completed5 followupsCaller wasthankfulfor yourhelp!Caller wasirate, usednot nicewording.Warmtransferred acall to grandroundsResolveda COVIDrelatedcallHelpedsomeonefrom anotherdepartmentResolvedrejection fornon-contractedpharmacyHad toexplain macappealprocess tocallerSubmitted yourtime sheet toRupa/RebeccaYoutransferred adoctor'soffice toevolve.Input aexternalservicedesk ticketMake outboundcall after gettingupdateddirections toobtain a paidclaimYou providedanalternativeNDC to thecaller.Helped acallerreview aPA Status.Premeratransferredmember to you.You transferredthem to GR to betransferred topremeraYou explainedwhat adeductible isto a caller.Youtransferred amember to aheath plan.Helped apharmacysubmit aSCC codeHad to explainto caller that wearen't apharmacy ortheir healthplan.Explained tocallerrequirementsfor 340BbillingReceived aRTS o/r requestand calculatedif the o/r isavailableReceived acall for aLOB or planwe do notservice.Explained to acaller what tiera medicationis and whatthe copay isHad toconferencein translatorservicesWork onyour activitytracker eachdayHelped callerresolvepillpackrelated issuesSent email tomyaccountmgrfor approvalReceived callfor claimreversal andsuccessfullyreversed theclaimYou helped apharmacistsuccessfullysubmit a DUR.Completed5 followupsCaller wasthankfulfor yourhelp!Caller wasirate, usednot nicewording.Warmtransferred acall to grandroundsResolveda COVIDrelatedcallHelpedsomeonefrom anotherdepartmentResolvedrejection fornon-contractedpharmacyHad toexplain macappealprocess tocallerSubmitted yourtime sheet toRupa/RebeccaYoutransferred adoctor'soffice toevolve.Input aexternalservicedesk ticketMake outboundcall after gettingupdateddirections toobtain a paidclaimYou providedanalternativeNDC to thecaller.Helped acallerreview aPA Status.Premeratransferredmember to you.You transferredthem to GR to betransferred topremeraYou explainedwhat adeductible isto a caller.Youtransferred amember to aheath plan.Helped apharmacysubmit aSCC codeHad to explainto caller that wearen't apharmacy ortheir healthplan.Explained tocallerrequirementsfor 340BbillingReceived aRTS o/r requestand calculatedif the o/r isavailableReceived acall for aLOB or planwe do notservice.Explained to acaller what tiera medicationis and whatthe copay isHad toconferencein translatorservicesWork onyour activitytracker eachdayHelped callerresolvepillpackrelated issuesSent email tomyaccountmgrfor approval

Work From Home Bingo (PBM Edition) - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
  1. Received call for claim reversal and successfully reversed the claim
  2. You helped a pharmacist successfully submit a DUR.
  3. Completed 5 follow ups
  4. Caller was thankful for your help!
  5. Caller was irate, used not nice wording.
  6. Warm transferred a call to grand rounds
  7. Resolved a COVID related call
  8. Helped someone from another department
  9. Resolved rejection for non-contracted pharmacy
  10. Had to explain mac appeal process to caller
  11. Submitted your time sheet to Rupa/Rebecca
  12. You transferred a doctor's office to evolve.
  13. Input a external service desk ticket
  14. Make outbound call after getting updated directions to obtain a paid claim
  15. You provided an alternative NDC to the caller.
  16. Helped a caller review a PA Status.
  17. Premera transferred member to you. You transferred them to GR to be transferred to premera
  18. You explained what a deductible is to a caller.
  19. You transferred a member to a heath plan.
  20. Helped a pharmacy submit a SCC code
  21. Had to explain to caller that we aren't a pharmacy or their health plan.
  22. Explained to caller requirements for 340B billing
  23. Received a RTS o/r request and calculated if the o/r is available
  24. Received a call for a LOB or plan we do not service.
  25. Explained to a caller what tier a medication is and what the copay is
  26. Had to conference in translator services
  27. Work on your activity tracker each day
  28. Helped caller resolve pillpack related issues
  29. Sent email to myaccountmgr for approval