TERMS MEANING
WHAT DOES OE STANDS FOR
OPERATIONS EXPERT
IS IT OK TO LEAVE YOUR COMPUTER UNLOCKED
FALSE
PROVIDERS THAT HAVE A CONTRACT OR WRITTEN AGREEMENT WITH THE MEMBER'S ASSIGNED INSURANCE IS CALLED
A IN -NETWORK PROVIDERS/PARTICIPATING PROVIDERS
WHAT DOES MRI STANDS FOR
MAGNETIC IMAGING
THE RECOMMENDATIONS BY A PCP FOR A MEMBER TO RECEIVE CARE FROM A SPECIALTY
REFERRAL
WHAT DOES LMS STANDS FOR
LEARNING MANAGEMENT SYSTEM
YOU SHOULD WRITE DOWN YOUR PASSWORDS AND KEEP THEM ON YOUR DESK SO YOU CAN REMEMBER THEM
FALSE
PROVIDER WHO DO NOT HAVE A CONTRACT WITH MEMBER INSURANCE IS KNOW AS
NON PAR PROVIDERS/OUT OF NETWORK
WHEN A PROVIDER IS OON THATS MEAN PROVIDER IS WHAT
OUT OF NETWORK
THE PROCESS OF OBTAINING COVERAGE APPROVAL FOR A SERVICE OR MEDICATION.
PRE-AUTHORIZATION
KNOWLEDGE LIBRARY IS USE FOR WHAT
WHERE POLICY AND PROCEDURES ARE LOCATED
WHAT TOOL WOULD YOU USE TO VERIFY AND AUTHENTICATE A CALLER
HIPAA TOOL
A PRIMARY CARE PROVIDERS IS ALSO KNOWS AS
PCP
WHAT DOES DX STANDS FOR ON A CLAIM
DIAGNOSIS
A STATEMENT RECEIVED BY A MEMBER EXPLAINING A CLAIM PROCESSED.
EOB (EXPLANATION OF BENEFITS)
WHAT IS HEALTH GUIDE
ASSOCIATE WHO ASSISTS MEMBERS WITH THEIR COVERAGE
WHAT INFORMATION DO YOU NEED TO COMPLETE HIPAA VERIFICATION FOR CALLER
CALLER FIRST AND LAST NAME, ID NUMBER, DOB
WHAT TYPE OF DOCTOR WOULD AN EAR, NOSE AND THROAT BE CALLED
A SPECIALIST
WHAT DOES DED STAND FOR
DEDUCTIBLE
IDENTIFICATION OF A DISEASE OR CONDITION
DIAGNOSIS
WHAT IS DBG
DIVERSIFIED BUSINESS GROUP
WHAT COMMAND DO YOU USE TO LOCK /UNLOCK YOUR COMPUTER
CTRL ALT DELETE
WHAT TYPE OF PROVIDER AM I IF YOU SEE THIS BESIDE MY NAME (PT/OT)
PHYSICAL AND OCCUPATIONAL THERAPISTS
WHAT DOES SNF STAND FOR
SKILLED NURSING FACILITY
THE DOCTOR SUBMITS THIS TO THE HEALTHCARE CARRIER AFTER A MEDICAL SERVICES HAS BEEN RENDER
WHAT IS A CLAIM