Song Lyrics
"I've got a cute face, chubby waist, thick legs in shape, rump shaking both ways, make you do a double take."
Lose Control by Missy Elliott
ACES GMNANTEEAM
Case Management
Doug
Retirement Services Group Assistant Manager
I am a Muni member on the EPO Plan. What is my copay for a lab draw with no office visit?
$0. Lab draws alone do not have a copay under the EPO Plan
"Who else am I gon' lean on when times get rough? Who's gonna talk to me on the phone 'til the sun comes up? Who's gonna take your place?"
"We Belong Together" Mariah Carey
NSAOISBTIUNTAT
Substantiation
What is Arthur's sister's name in the cartoon "Arthur"
D.W ( Dora Winifred Read)
What is Antonio Muzzarelli's role at The Fund Office?
Benefits & Eligibility Clerk
I am a single Owner Operator on Platinum Plan. I have met $200 towards my in network deductible. How much more do I have to meet for my in network deductible to be satisfied for this Plan Year?
$500. The Owner Operator Platinum Plan has a $700 in network individual deductible
"Took an oath, I'ma stick it out to the end."
Umbrella- by Rhianna
FAHEY MNEIPUTQE TPRAOREO
What is Paige Muilenburg's role at The Fund Office?
Delinquency Analyst
Where is the newest Premise Health Center and when will it tentatively be open for our members?
Rock Island. Late Summer- possibly August
“You change your mind like a girl changes clothes.”
Hot N Cold- by Katy Perry
KRSWERO NTNEOIRTE GORPMRA
Workers Retention Program
Name four main Looney Tunes Characters
Bugs bunny, Daffy Duck, Porky Pig, Elmer Fudd, Tweety Bird, Sylvester the Cat, Yosemite Sam, Foghorn Leghorn, Wile E. Coyote, Road Runner, Pepe Le Pew, Speedy Gonzales, Marvin the Martian, Taz
What is Kelly Hayes's role at The Fund Office?
Member is on Plan MA. His wife calls in and has questions about her Invisalign. She went to the orthodontist last month in March and had her initial consultation and scans. She signed her contract at that visit and paid in full, $5,000. Her contract states that her length of treatment will be 10 months. She is going in today to pick up her first trays. How much could she potentially be reimbursed through FSB if they have not ever used their FSB before?
$2,000.
"I wanna hold 'em like they do in Texas, please"
Poker Face- by Lady Gaga
SMAHRE DNPOHE
Ramesh Pondhe
Name the twins from Rugrats
Phil and Lil DeVille
Claims Examiner
Member is on Retiree Plan A. Delta paid a portion of their crown but denied the rest, stating maximum benefit has been met. The allowed amount for the crown was $1,000. Delta paid $125 and denied the rest as patient responsibility because their $2,000 max had been met. How much $ could this member potentially be reimbursed through their FSB?
$575. Because this is the line that the patient maxed out of their Delta benefit, the member is still responsible for their 30% coinsurance. Delta could have paid 70% of the $1,000, which equals $700. Delta only paid $125. $700 - 125 = $575.