Oh System, My System
Used to view member's eligibility, benefits, and claims. Can also send ID cards from here.
What is Solution Central?
These two classmates are real-life roommates!
Who are Yvette and Camara?
The task used to order ID Cards.
What is Manage ID Cards?
A set amount you pay upfront at a Doctor's office.
What is a copay?
Anthem's Vision
What is:
To be America's Valued Health Partner
Used to view details about ITS claims.
What is Blue2?
This classmate's bike was recently stolen by hooligans!
Who is Michelle?
The first step you take when you select benefits and cost.
Benefit Overview, then Show All on both sides.
A member's percentage of the cost.
What is coinsurance?
Anthem's Values
What are: Accountable, Caring, Easy to Do Business With, Innovative, Trustworthy
Used to see HIPAA Authorizations
What is CIRS?
This classmate speaks tagalog!
Who is Christian?
The steps for sending a claim to adjustments.
What is:
Find the claim and Open it
Tag it for adjustment
Submit to close the claim
Submit to get to claim review
Other actions, Request Adjustment
An amount you pay before the insurance begins to pay anything.
What is the deductible?
Anthem's Purpose
What is: Together, we are transforming healthcare with trusted and caring solutions.
Used to access pharmacy information.
What is eSD?
This classmate has 18 tattoos.
Who is Joey?
Other ways to search for members besides their ID.
What is:
Name and DOB
Name and Group
Subscriber SSN
Member SSN
Name and SSN
Once this amount is paid, Anthem pays services at 100%
What is the OOP max?
Anthem's CEO
Gail Boudreaux
This classmate can run a mile in under 6 minutes!
Who is Taylor?
The method to look up revenue codes.
What is:
Tools
Lookup Code
Change dropdown to revenue code
Where you can check to see how many visits have occurred to a benefit limit (i.e. acupuncture).
What is Accumulators Task?
The name of the department that you are going to.
What is National Accounts?