Title: Competency Assessment: (CU2 M2) Verification of Eligibility for Services Roleplay
Course: SkillsCom CRS 110 14.0 > Section: Credit Unit 2 Module 2

The following case study is for patient John Q. Smith. He was injured while competing in a rodeo as a bull rider. Mr. Smith has completed the patient information sheet prior to being seen and you have obtained a copy of his insurance card. Now you, as a coding and reimbursement specialist, must call and verify his coverage and his eligibility for services so that John Q. Smith can be seen.

Assignment:

1. Ask someone to role-play this phone call with you.

- If you are unable to complete this assessment due to an availability of a person to assist you, please contact your Navigator to explore other options.

2. Provide this document to your partner so that they will have enough information to act as the insurance company: Patient Information (Google Doc).

3. Your job in this role play is to phone the insurance company to obtain enough information to complete the following document and verify that John can be seen by your physician: Verification of Eligibility for Services (PDF).

4. Videotape the role play and submit it to be graded.