Benefits
This service may have you on pins and needles, but get out your wallet, as it's a contract exclusion.
What is acupuncture?
Shown in CCI as the disallowed amount and on the member's EOB as member discount, this amount is not part of member responsibility.
What is the provider write off?
Used by many departments for many reasons, we only use this system for billing research.
What is AMISYS?
The billing reason should only be used for questions regarding this.
What is the monthly premium?
These are not allowed to be selected as a PCP.
What are specialists?
This mix of letters and numbers helps us find the correct schedule of benefits.
What is HIOS?
The date on which we know how the claim will pay.
What is the processed date?
What is Caremark Client Online Services?
Where we should direct members who have suddenly lost APTC.
What is the FFM?
What is the Authorization of Release?
This must be met before the insurance policy begins to pay.
What is deductible?
Method of billing for multiple dates of service.
What is interim billing?
The system we will use when Lucinda wants to know why her MRI didn't get approved.
What is Carelon?
The resource you should use when you need dates for draft cancellations or the last day to pay premiums.
The line of business that services dental policies.
What is ABCBS regular business?
This is the benefit to select in Scripts and Codes to check cost sharing for a proctologist visit.
What is Professional Physician Visit - Office?
The line on the claim that indicates another claim is involved or referenced on the current claim?
What is X-Ref?
The system we might need to use if we see a SCCF on a claim.
What is Blue2?
The length of time an OFF exchange or ON exchange member that does not have APTC has to pay their premium.
What is 30 days?
Where we should direct an AR Home member to update their physical address.
What is DHS?
Your best friend when navigating a Benefit Certificate
What is CTRL+F?
Where we direct providers when they are calling about an out-of-state claim.
What is the local blue plan?
You should check here if a member cannot be located in CCI.
What is MarketWrite?
This statement contains the current member responsibility, adjustments, and ways to pay.
What is the invoice?
Your favorite trainer.
Who is Jason?