Member lives in 06103 and needs the closest Urgent Care accepting HMO Bluecare/ HMO Bluecard
What is American Current Care/Concentra Urgent Care?
100
System to change a member’s PCP
What is CCB or ISG?
100
TX of diseases by means of chemical substances
What is Chemotherapy?
100
EPDSv2 is a search engine for Member inquires
What is False?
200
Incentives based
What is a HIA?
200
Three pieces of information needed to assist a member in finding a doctor
What is insurance info, type of doctor, zip code/ location desired?
200
Member sends SM on 3/15/15 desiring PCP change effective 3/1/15. Can it be done
What is yes?
200
Tests using an apparatus to confirm the presence of illness or injury
What is Diagnostic lab test?
200
HMOP and HMOF are network options for a Blue Open Access POS in GA?
What is True?
300
Member keeps unused funds after leaving plan
What is a HSA?
300
When viewing a provider in WGS, what key is pressed to access the provider address screen when on the Individual Profile screen
What is F9?
300
ID 073422778 (CCB Live). Name of Louise’s PCP
What is Maxwell Chait?
300
Tests designed to review a set of related conditions
What is a Panel test?
300
An HIA is the only CDHP that allows dollars to be added to the fund when the member participates in the Healthy Rewards Program
What is False. HRA, HSA, and HIA allow dollars from Healthy rewards programs.
400
Unused funds rollover year to year- subject to maximum
What are HIA and HRA?
400
ID #066T60460 (ISG test). Sidney needs to know his PCP’s number
What is NAP157 or NBZZ48
400
Member sends SM. He has recently changed his PCP and has not received a new ID card. He has medical appt in 9 days. Which do you do (A or B). A: generate another ID card B: create eligibility letter & include new PCP information
What is B?
400
Usage of radiant energy in the diagnosis of an illness or injury
What is Diagnostic Radiology or x-ray?
400
GA HMO Guided Access requires a PCP
What is True?
500
Annual pre-tax allocation of funds from an employer
What is a HRA?
500
Thomas Train (ISG test) needs to change his PCP to Abdur R Khan MD. Dr. Khan's PCP number is
What is NAR524 or NB5167?
500
California member wants to change PCP while being treated for illness requiring regular visits. You do this.
What is to advise the member that the PCP can only be changed in open enrollment due to current course of tx?
500
Artificial removal of waste from one’s blood
What is dialysis?
500
ID 073422778 (CCB Live). Louise’s plan is Empire Guided Access POS Platinum