Plans
Consumers whose income is within 138% of the FPL can qualify for this.
What is ARHome?
This is a fancy word that refers to cities/counties that border Arkansas.
What is contiguous?
This number on claim line details indicates the number of services the member received.
What are units?
This is the main system we use for documenting and researching calls.
What is CCI?
Jason and Curtis are mad that the suitcase icon on ID cards was replaced with this.
What is PPO?
Plans that do not involve any type of subsidies.
What is Off-Exchange?
A fixed dollar amount that you would pay for a service such as an office visit.
What is a copay?
Listed in CCI as the check date, we refer to it as this.
What is the paid date?
She's always listening.
What is Cresta?
The only thing Blue Cross sends bills for.
What are premiums?
This is not free money.
What is APTC?
This amount has to be met before the insurance starts paying.
What is deductible?
This two character code provides additional information about a procedure.
What is a modifier?
If a member cannot be found in CCI, perhaps they are here.
What is MarketWrite?
The time expectation we should set when sending a member an email.
What is 24-48 hours?
You should check this tab in CCI to see if a member has another insurance plan.
What is COB?
This word in the name of a plan indicates it has BlueCard benefits.
What is National?
This different kind of claim number will only appear on out-of-state claims.
What is SCCF?
When you go on break, you need to change your status here.
What is Five9?
This step of the call flow comes after we listen to the caller's story and should be specific.
What is acknowledgment?
The process of essentially making a cancelled plan active again.
What is reinstatement?
On the 11th day of the month with no premium paid, this benefit will be suspended.
What is pharmacy?
Also known as the provider write off, this is the difference between the billed amount and allowed amount.
What is the disallowed amount?
In addition to CCI, provider information can be found here.
What is ProvWeb?
After the effective date of a policy, but before we have received the first premium payment, a policy is in this status.
What is conditional status?