Plan types
HIPPA
Accumulators
benefits
COB
100

this plan type requires you to have a PCP?

what is HMO

100

What are the two first pieces of information we collect from every caller?

what is Full Name and DOB

100

If a member is calling to find out which plans have helped satisfy their deductible, then can look under which tab?

what is accumulators

100

Is colonoscopy considered preventive?  

what is sometimes

100

what rules over rules the birthdate rule?

what is custody or court order

200

which state is open access?

What is Colorado

200

When was HIPPA enacted with congress?

what is 1996

200

What frat boy name is used for PAR INDIVIUAL MM DEDUCTIBLE?  

what is PINDED

200

What name is physical therapy under in solution central?

what is physical medicine

200

what rule over rules the custody rule?

what is Court Order

300

which plan is used for dependent care?

what is DCFSA
300

A caller is calling regarding their step child, what would you choose in the HIPPA TOOL under who is calling?

what is Informal Rep.

300

If you are looking for accumulators for a previous year, What should you verify first?

what is verify that you are on the correct contract code

300

If there is no information on benefit overview in solution central regarding if a plan is Embedded or Non Embedded where should you look next?

what is BPD or EOC

300

What does the G indicate under Medicare in COB?

what is that Anthem is primary

400

POS, Is a hybrid of which two plans?  

what is HMO and PPO

400

when should you use the HIPPA TOOL

what is In the beginning of every call interaction

400

What is the first step when going over accumulators? 


what is add task-accumulators

400

When quoting benefits what three stages do you explain.

what is deductible, coinsurance and OOP maximum

400

what does the R stand for when in COB?

What is research

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