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

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