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Corr Processing/Scrub and Match Quiz

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Corr Processing/Scrub and Match Quiz

Test your knowledge on the Corr Processing and Scrub & Match protocols with this detailed quiz! This quiz is designed to challenge your understanding of important documents, procedures, and codes within our workflow.

Prepare yourself by familiarizing with:

Merging documents effectively
Identifying appropriate comment codes
Processing proof of loss documents accurately

10 Questions2 MinutesCreated by AnalyzingData17

Which document(s) can be merged? (Select all that apply.)

Revised complete CaliforniaChoice Enrollment Application

Revised pages

Partial PIR

Proof of Loss

The PIR is always merged to newest document received as this will reflect the most current submitted date.

True

False

What comment code is used to send to the Phone Call Bin?

CIC

CIP

CP1

CPF

A Medi-Cal Notice of Action letter is submitted as proof of loss. The letter advises that the coverage was lost due to not completing the reevaluation/redetermination process. What should happen with this document?

The document should be processed as this is a valid proof of loss.

The document should be sent to the Phone Call Bin to pend for a valid proof of loss.

The document should be sent to the Corr Sup Bin, as all Medi-Cal Notice of Action letters must be approved by the Corr Sup.

The document should be sent to Decline as this is a voluntary loss of coverage.

If a partial PIR is received

It should be merged to the original document and sent to the Phone Call Bin to continue pending.

It should be sent to QC as an invalid PIR.

It should be merged to the original document and sent to Level 1 to pend.

It should be sent to Decline as it is not a complete PIR.

If an invalid PIR is received, it should be sent to the Phone Call Bin.

True

False

What does PIR stand for?

Processing Item Resolve

Pending Item Resolve

Pending Item Review

Processing Initial Request

Primary Item Request

A Term Notification is received but is not signed by an authorized contact. Corr pends and, in response, receives a Web Term Notification. Is the Web Term Notification an acceptable PIR?

No, as the form received is different from the one received previously.

No, as we still need an authorized contact signature.

Yes, the Web Term Notification is acceptable.

No, as we do not accept Web Term Notifications once we are already pending on a Term Notification.

What comment code is used to close out a pending item?

CIC

CIP

CPF

CP1

When sending to the Corr Sup Bin, you must always write your question on a sticky note on the first page of the document.

True

False

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