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Optum Customer Service Week 2023 - Crossword Puzzle

Across
The operational support team for behavioral health, created to fully resolve highly escalated issues including claims, appeals and clinical issues
This is sent out quarterly to share exciting news, celebrations, and employee spotlights with the team
A verbal or written expression of dissatisfaction
A request for payment of a covered service
The process of interacting between customers and service providers to help solve problems and build relationships
Acronym for the denial, reduction or termination of a benefit
Platform for issue management, and provides access to various workflows and qrgs
Provides support for balance billing and surprise billing claims
A list of rules from an insurance company that is used to figure out if you are covered
Team favorite activity for employee fun engagement
Down
Platform housing behavioral health and medical authorizations
A service that a health plan does not cover
The amount you could owe during a coverage period (usually one year) for health care services before the health insurance or plan begins to pay
Our way of communicating daily; two or more people working together
This platform houses our team One Note, learning and career development presentations, call audit info and team time management calendars
A portion of covered health care costs, often calculated as a percentage of the allowed amount for the service
Another term for certification or approval of service
Acronym for a description of the benefits included in a carrier's plan
Used to express approval when a person has done something well
A specific request to reverse a denial or adverse determination