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Customer Solutions Documentation

Froggy Jumps

Played 6

About this activity

Demonstrate the ability to accurately determine when documentation is required during claims-related calls and correctly identify the appropriate system(s) and details for notation based on established guidelines.

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Customer Solutions Documentation
 

Froggy Jumps

Customer Solutions DocumentationOnline version

Demonstrate the ability to accurately determine when documentation is required during claims-related calls and correctly identify the appropriate system(s) and details for notation based on established guidelines.

by Taylor
1

Provider calls asking about amount paid on a claim.

2

Producer calls about policy status.

3

Customer asks about out-of-pocket responsibility.

4

Provider calls for eligibility and benefits.

5

CAR is sent for fraud claim.

6

Specialty benefits are released to the customer.

7

Provider calls asking about an adjusted claim.

8

Customer calls confirming there is no patient responsibility.

9

Provider calls to verify amount applied to the deductible.

10

Provider calls asking about a Medicare Noncovered charge.

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