S1 - Mock Call 3 - Maternity Benefits
Reason for call - - You need eligibility for Andrea Dean - You need global maternity benefits. - Andrea will be delivering at St Marks Hospital. Questions you must include - - Does Regence follow the 48/96 rule? - How many ultrasounds does her contract allow? - Is 54150 a covered service? - Will Regence pay for a private room? - When does the member need to add the baby? - What happens if the baby isn't added in a timely manner? Tone - - You are working and have stuff to work on while they put you on hold. - Mute the phone so that when the CSS comes back you are not immediately available, BUT answer after 3 -5 seconds. - IF the CSS doesn’t put you on hold, start the small talk. (i.e. “it’s so busy, are you?”, “Can you believe the weather?”)
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