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1. Where can you find the Managed Care website?
A
Sandy sends out the link to the Managed Care site.
B
On a spreadsheet from Laura
C
BJC Sharepoint.com & BJC Net Home Page
2. On the BJC Net Homepage, click on
A
BJC Departments, Managed Care
B
Services, Telecommunications
C
For Employees, Employee Service Center
3. Under which heading would you find appeal tools?
A
Sites
B
Documents
C
Lists
4. Under which heading would you find the Managed Care Open Issues report?
A
Documents
B
Sites
C
Lists
5. Where can you find our contracts with Managed Care payors?
A
Documents, Operational Managed Care Contract Material(s)
B
Sites, Marketplace Exchanges
C
Lists, Managed Care
6. Where can you look for carved out services?
A
Documents - BJC Exceptions
B
Documents - Plan Medical Policy
C
Documents - Carved Out Services Quick Reference
7. Insurance plan portal access can be found under
A
Sites, Site Pages
B
Documents, Quick Reference
C
Lists, Portal Access
8. Where can you find a compilation of contracted plan demographic details?
A
Managed Care Plan Profile
B
Provider Relations
C
Plan Medical Policy
9. What should you do before reaching out to a provider rep?
A
use the Contracted Plan Contacts to find the correct contact info
B
contact your supervisor
C
Make sure you have the correct claim number and charge amount.
10. What info can you find under Directories?
A
Appeal info for each payor
B
a complete list of all NPIs & TINs
C
Covid 19 billing info for all payors
11. Where are announcements located?
A
On page 317.
B
In the Left column
C
In the Middle column
12. Where can you find the Managed Care Contract Participation Grid?
A
Left Column, Under Lists
B
Left Column, Under Documents
C
Left Column, Under Sites
13. If you cannot find answers to a Managed Care Issue on Sharepoint, you should
A
Gather the required info and email your supervisor
B
Gather the required info and email Managed Care.
C
Gather the required info and email the provide rep.