NAME THAT PROGRAM
This program allows agent to search eligibility
what is CED
Janice has met her deductible of $1,000 and her plan has a coinsurance of 80%/20% and an out of pocket of $2,000. What will Janice be responsible for if she goes to the doctor?
What is 20% of the doctor bill
This is the patients overview
what is 360 view
Where would you look for: Office Visit
What is outpatient physician services
OOP
WHAT IS OUT OF POCKET
This program is used to search for information on a patients HRA account
what is cfunds
global or non global: Susan is 20 weeks pregnant. She goes to the doctor because she has a cold and doesn't feel good.
What is non global
this section will help search for a local doctor
what is the provider tab
Where would you look for: Physical Therapy
What is short term rehabilitation
ccn
what is Cigna Care Network
this program is used to search for claims other than 1view
what is Vipr
Johnny has a $50 copay and a $2500 OOP. He has paid $3000 to the OOP. How much will he owe for his office visit this month?
what is $0
in this section you find the amount of the benefits met by the patient
what is benefit accumulators
Where would you look for: Experimental/investigational/ unproven services
what is medical not covered
COB
what is coordination of benefits
this program is used to find a refund
what is cors
Tommy has to have prostate cancer screening due to age and family history. What benefit is this covered under?
what is Early Cancer Detection
This radio button will let you check if precert is needed
what is authorization inquiry
Where would you look for: virtual visits
what is telehealth
DCN
What is Document control number
these programs are used to find documents sent in from providers
what is iview and xnet
what would be the benefit for therapy for drug abuse
what is mh/sa substance abuse
this tab gives you the contact information for HSA accounts
what is reference
Where would you look for: hospital stay
DX
What is Diagnosis