What 2systems do youuse to check anapprox. cost ofa procedure?What s theTAT for aclaimdecision tobe made?🍎If a provider isleaving thenetwork, whatform should weoffer themember?What is "Step1" in theenrollmentprocess withFed/Postalmembers?What systemdo youcheck to seethe status ofan appeal?If a member hasquestions aboutreimbursements,what should weoffer themember?Before youagree to accepta transferredcall, what doyou do first?What happens ifyou cant find theplan sponsor inthe list oftoolkits? (andNOT ORS)Why does USSteel have thenew TraditionalChoice MNplan as anoption?What is thetimely filingperiod for agrievance?When does theTraditionalChoice MNplan SilentEnrollmentend?If a member asksabout reimbursementfor eyewear orhearing aids, whatshould we check firstbefore sending out aform?If a Traditional(Commercial)Fed/Postalmember calls in toopt-out ofSilverscripts, whodo you transfer to?If a Covid test wasdenied coverageby insurancecompany, what isthe first thing youcheck in HRP?What systemdo you useto check if aprocedure iscovered?If someone otherthan the memberis calling in, whatshould we offer toassist with futurecalls?If an expeditedappeal is changedto a standardappeal by Aetna,what does themember have aright to do?If its a SilentEnrollment periodand there is noenrollment window inBSwift, what do youdo to enroll memberinto their desiredplan? (non-Fed)What is theOneKit codefor a memberreimbursementform?How do yousend amember acopy of theirEOB?If a member callsin upset and youdo not know if youshould file agrievance, whatKA should youlook up and read?If a member with aW-Id calls in aboutclaims or benefitsand you're notTrad Trained, whatdo you do?What is thedifference betweena routinemammogram anda diagnosticmammogram?If a member has avalid reason for agrievance and theyare upset but thecall ends before youfile the grievance,what do you do?What 2systems do youuse to check anapprox. cost ofa procedure?What s theTAT for aclaimdecision tobe made?🍎If a provider isleaving thenetwork, whatform should weoffer themember?What is "Step1" in theenrollmentprocess withFed/Postalmembers?What systemdo youcheck to seethe status ofan appeal?If a member hasquestions aboutreimbursements,what should weoffer themember?Before youagree to accepta transferredcall, what doyou do first?What happens ifyou cant find theplan sponsor inthe list oftoolkits? (andNOT ORS)Why does USSteel have thenew TraditionalChoice MNplan as anoption?What is thetimely filingperiod for agrievance?When does theTraditionalChoice MNplan SilentEnrollmentend?If a member asksabout reimbursementfor eyewear orhearing aids, whatshould we check firstbefore sending out aform?If a Traditional(Commercial)Fed/Postalmember calls in toopt-out ofSilverscripts, whodo you transfer to?If a Covid test wasdenied coverageby insurancecompany, what isthe first thing youcheck in HRP?What systemdo you useto check if aprocedure iscovered?If someone otherthan the memberis calling in, whatshould we offer toassist with futurecalls?If an expeditedappeal is changedto a standardappeal by Aetna,what does themember have aright to do?If its a SilentEnrollment periodand there is noenrollment window inBSwift, what do youdo to enroll memberinto their desiredplan? (non-Fed)What is theOneKit codefor a memberreimbursementform?How do yousend amember acopy of theirEOB?If a member callsin upset and youdo not know if youshould file agrievance, whatKA should youlook up and read?If a member with aW-Id calls in aboutclaims or benefitsand you're notTrad Trained, whatdo you do?What is thedifference betweena routinemammogram anda diagnosticmammogram?If a member has avalid reason for agrievance and theyare upset but thecall ends before youfile the grievance,what do you do?

Random BSwift Knowledge - 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.


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  1. What 2 systems do you use to check an approx. cost of a procedure?
  2. What s the TAT for a claim decision to be made?
  3. If a provider is leaving the network, what form should we offer the member?
    🍎
  4. What is "Step 1" in the enrollment process with Fed/Postal members?
  5. What system do you check to see the status of an appeal?
  6. If a member has questions about reimbursements, what should we offer the member?
  7. Before you agree to accept a transferred call, what do you do first?
  8. What happens if you cant find the plan sponsor in the list of toolkits? (and NOT ORS)
  9. Why does US Steel have the new Traditional Choice MN plan as an option?
  10. What is the timely filing period for a grievance?
  11. When does the Traditional Choice MN plan Silent Enrollment end?
  12. If a member asks about reimbursement for eyewear or hearing aids, what should we check first before sending out a form?
  13. If a Traditional (Commercial) Fed/Postal member calls in to opt-out of Silverscripts, who do you transfer to?
  14. If a Covid test was denied coverage by insurance company, what is the first thing you check in HRP?
  15. What system do you use to check if a procedure is covered?
  16. If someone other than the member is calling in, what should we offer to assist with future calls?
  17. If an expedited appeal is changed to a standard appeal by Aetna, what does the member have a right to do?
  18. If its a Silent Enrollment period and there is no enrollment window in BSwift, what do you do to enroll member into their desired plan? (non-Fed)
  19. What is the OneKit code for a member reimbursement form?
  20. How do you send a member a copy of their EOB?
  21. If a member calls in upset and you do not know if you should file a grievance, what KA should you look up and read?
  22. If a member with a W-Id calls in about claims or benefits and you're not Trad Trained, what do you do?
  23. What is the difference between a routine mammogram and a diagnostic mammogram?
  24. If a member has a valid reason for a grievance and they are upset but the call ends before you file the grievance, what do you do?