Jeopardy Template

EEYUCK (API)

100

This carrier is set up for API

Principal

200

We send API questions to this team

Product support 

300

Principal is asking for DOH, DOB, salary, we loop in this person

Account Manager

400

I can tell an employee is erroring from this

Detailed transaction report from easy morph

500

Notes regarding API research live here

Liz's ref book

Where Dat At

100

I can tell if a group is advanced or post coverage from this

 Group settings tab in insight

200

I can find a group uses us as their cobra vendor from these indicators

Admin fees, $1 fee on the bill

Bonus: TPA docs

300

This shows me if a carrier is net or gross - bonus if you can tell me what net and gross means

EDI and Remit sheet

Entity tab for the carrier

Net means we pay commissions, gross means the carrier pays 

400

This tells me we handle MEM for a case

An adjuster (person's name) is listed on the "manual entity" section of eligibility management. 

500

I can see billing records here

Billing and payment history on the enrollment tab or pulling billing records from 20production

EDI

100

This tells me a group has EDI with us

Navigating to the group's elig management tab, products show EDI Live

200

These products can be set up on EDI

Billable products

Core products and some life/disability

Medical over 100 lives

Special deals with PEPM discussed

300

Define System of record

This is where a product (typically life or disability) are not set up on an EDI feed. Once a claim is processed at the carrier, the carrier then reaches out to the claims team on our side to verify benefits. 

400

We do not set up EDI for this carrier 

Principal

500

We send EDI questions to this team if we cannot resolve

Data services

BILL BILL BILL BILL

100

I can see a group is on hold from this

Group hold section on group info tab in insight

200

These holds prevent late notices from going out

ALL OF EM

300

These reasons would prevent a bill from running or posting

Group hold

Group hold at the time of bill run

Prior bill didn't run by the time the following bill run was ready 

Bill is in audit/in audit threshold

400

Tell me the difference between a change and express renewal, and how you would find if a group is one or the other

Express = no changes, renewing as is. Should have a bill on time. Notes in insight will say express. Do not require a ticket but there may be one in zd

Change = changes that will not auto feed in ie. carrier changes, product additions. Billing will be delayed. DOES require a ticket. 

500

Timelines for -

Bill run

Late notices

Remit Days 

Bonus - expected bill release days on PTs, Terms, and renewals

Bill run -18th for advanced, 5th for PCB 

Late notices - 5th and 20th post due date

Remit - 1st and the 15th

Bonus - 

Terms and PTs - final bill ran post coverage ie 5th of the month (10/1 final will run 11/5)
Renewals do not have an ETA unless express 

Take me to the grave

100

I have been on the radio

Liz

200

In middle school, I designed my own CO2 dragster and won 1st place. 

Lea Ann

300

I do taxidermy in my spare time

Ellis

400

i went to aruba and accidently ended up at a mob/cartel owned and run compound that had an entire zoo in the backyard. 

Cam

500

I wrote the fight song for my high school 

Cheryl