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

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 is "Step 1" in the enrollment process with Fed/Postal members?
  2. If a Traditional (Commercial) Fed/Postal member calls in to opt-out of Silverscripts, who do you transfer to?
  3. Before you agree to accept a transferred call, what do you do first?
  4. When does the Traditional Choice MN plan Silent Enrollment end?
  5. If a provider is leaving the network, what form should we offer the member?
    🍎
  6. 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?
  7. What s the TAT for a claim decision to be made?
  8. If a Covid test was denied coverage by insurance company, what is the first thing you check in HRP?
  9. If someone other than the member is calling in, what should we offer to assist with future calls?
  10. What 2 systems do you use to check an approx. cost of a procedure?
  11. What is the difference between a routine mammogram and a diagnostic mammogram?
  12. 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)
  13. What system do you check to see the status of an appeal?
  14. If an expedited appeal is changed to a standard appeal by Aetna, what does the member have a right to do?
  15. Why does US Steel have the new Traditional Choice MN plan as an option?
  16. What happens if you cant find the plan sponsor in the list of toolkits? (and NOT ORS)
  17. 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?
  18. What system do you use to check if a procedure is covered?
  19. What is the OneKit code for a member reimbursement form?
  20. What is the timely filing period for a grievance?
  21. If a member asks about reimbursement for eyewear or hearing aids, what should we check first before sending out a form?
  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. How do you send a member a copy of their EOB?
  24. If a member has questions about reimbursements, what should we offer the member?