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Debrief Questions

Christine Martignoni

Created on May 9, 2024

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Transcript

Debrief Question

  • Which call driver should be selected to facilitate this call?
  • Which reason and action codes were documented at the end of the call?

Trainer Notes

Reason and Action Codes

OH Medicaid

  • Reason Code: OHGREV – OH DISP – SUBSTA/UNSUBS
  • Action Code: GRSTCP
NY Medicaid
  • Reason Code: NYCOMP – DISPRO – RUDOFF
  • Action Code: GRSTCP
Other Medicaid FL, IL, GA, HI, KY
  • Reason Code: GRIEV – DISPRO – RUDOFF
  • Action Code: GRSTCP

CCP

  • Reason Code: GRIEV – DISPRO – RUDOFF
  • Action Code: GRSTCP
PDP
  • Reason Code: GRIEV – DISPRO – RUDOFF
  • Action Code: PDGRIV
Health Exchange
  • Reason Code: GRIEV – DISPRO – RUDOFF
  • Action Code: GRSTCP