Medicare
This is the age when you are entitled to Medicare.
What is 65
This Medicare coverage that is premium free if you qualify.
What is Part A
This is required when Elevance is FI/FINR and Ingenio/Carelon RX
What is Medicare RX BIN.
This is the only Medicare part that you receive automatically at age 65 and without a premium.
What is Part A.
This Medicare Coverage pays for professional services
What is Part B
This system will not indicate Medicare entitlement reason
What is Marx.
How long is the No Part B Notification period?
90 Days
This is another name/term for a Medicare Advantage Plan.
What is Part C.
This Medicare coverage pays for Hospital services only.
What is Part A
This Medicare coverage pays for prescription services.
What is Part D.
This always remains the same on the WGS MED LL for Part D
What is the Crossover indicator.
This is the date we start the no part B notification period.
What is the date you are creating the MED LL.
This is the qualifying reason code on the MED LL for Disability
What is '1'
These are the 3 group sizes that we take into consideration for primacy.
What are less than 20, greater than 20, and greater than 100.
An H or R for part D indicates this?
What is a Medicare Advantage Plan
This is the document type needed to determine if a group enforces.
What is the EOC.
This Medicare coverage bundles all Medicare parts and is administered by a private insurance company.
What is Medicare Advantage Plan.
These group types will always have Age entitled as Elevance prime and disability entitled as Medicare Prime
What is MEWA.
We put this in the Part B field to indicate the member does not have Part B but we are enforcing.
What is a 'Q'
When we need to determine if we will enforce no part B reduction, what do we want to check first?
What are the state guidelines.