Products
What is 93?
A set fee that's due at the time of service/visit
What is a copay?
This would need to be asked any time a Medipak member wants to change their policy.
What are Screening Questions?
Plans that are no longer sold but continually managed.
What are Closed Plans?
This resource is used to take member payments.
What is Alacrity/Orbipay?
Policies that are purchased directly through Arkansas Blue Cross Blue Shield (and not through the employer) are called this.
What is Individual policy?
This payment is made monthly for insurance coverage
What is a premium?
If a medipak member calls to update their address, this could possibly affect their premium amount.
What is the County?
Licensed insurance Agent who helps the customer enroll in and manage a healthcare plan.
What is Agent of Record?
This is typically referred to as our "electronic file cabinet".
What is ECM/P8?
Policies that are obtained through the member's employer.
What is a Group policy?
This is the amount that a member must pay before insurance will pay anything
What is deductible?
What is Medipak Comparison Chart?
Statement that is sent to a member after a claim has been processed.
What is Explanation of Benefits?
This system is our back up system ONLY.
What is CSW?
Individual Medipak policies start with these two numbers.
What is 92?
Total amount of member responsibility over a calendar year that can be capped at a certain amount. After this is met, insurance (in most cases) pays at 100%
What is an Out of Pocket?
Medipak members changing their policies outside of the initial enrollment period must go through this.
What is Medical Review or Underwriting?
A federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
What is HIPAA?
ABCBS President and Chief Executive Officer.
Who is Curtis Barnett?
In addition to Medipak, Medical, and Life products, what other two product types does ABCBS sell?
What is Dental and Vision products?
This is the percentage split that the member and insurance company is paying once the member meets their deductible
What is coinsurance?
The dollar amount applied to claims with a date of service in the months of October, November, or December that can be credited to both the current and following calendar year accumulations.
What is Deductible Carryover?
This is the system "behind" all other systems, whose information then gets pushed out to CCI and CSW.
What is Amisys?