Acronyms
TrOOP
True out of pocket
how does AEP work
Annual enrollment period that is from October 15 to December 7
What is your trainer's name ?
Larry Benitez
Can a third party discuss member's general billing information ?
yes they can
DMAP
Drug M anufacturer Assistance Program.
Someone with disability or by turning 65 years old, they can enroll 3 months before birth month, the birth month or 3 months after the birth month.
what is the color that represents hope?
Green
Can a broker update member's PCP information on a member's account ?
The member does not need to be present to provide permission; the broker only needs to verbally attest that they have received permission from the member to update PCP
VBC
Value base care
what is SPAP
State Pharmaceutical Assistance Program
who is the father of PSICOANÁLISIS?
Sigmund Freud.
What cannot be discussed with a broker ?
Sensitive Member Information
RSS
Resolution support specialist
What is the Coverage gap
is the stage that members will pay 25% coinsurance for their medication since the already spend $4.660 in drug spend for 2023 and in 2024 is going to be $5.030.
Which year Freddy mercury passed away
1991
Can an AR update member's address ?
They cannot without member's authorization
PMG
Provider medical group
What is capitation
A set payment amount Per Member Per Month (PMPM)
which year America was discovered
1492.
Can a POA update a MOP method of payment on the account ?
yes they can