Systems
CCF
Medical
True or False
BA
100
All things HCP can be found here
What is CPF (Central Provider File)
100
Action code in Vipr that allows you to view if there has been any ACF activity tied to a CCF medical claim **Hint** located on the "payment" screen
What is RMB
100
This provides you the first look into what happened on the claim
What is a RNC code
100
If the claim system in OneView says "Webster", you would handle this call
What is False
100
You would look under this tab, and this "heading" to see if a dependent is covered for maternity coverage
What is Provisions, maternity dependent children
200
If it's a contracted rate you're looking for, you've come to the right place
What is GROUP/ SAM
200
Allows you to view direct deposit status for customer's reimbursements.
What is iDeposit
200
This action code allows you to see how the claim was "priced"
What is PRC
200
When a customer needs a refund as a result of paying too much to the HCP, Cigna will issue her a refund.
What is False
200
The situs state is located on this tab
What is Account Info
300
If it's been faxed, mailed, or imaged, you can look here to find it.
What is iView
300
Gives you access to HSA balances, deductions, contributions, and transactions.
What is 1Cloud
300
You can access COB info on a claim using this action code
What is OC
300
HRA claim adjustments can be sent to QADJCF
What is True
300
Grandchildren coverage info will be listed under this tab, if covered
What is Eligibility
400
You can find EOBs, EOPS, and electronic images here
What is XNET
400
Health Award, Healthy Futures, and Stand Alone accounts can be found here
What is C-Funds
400
You would come here to match the procedure code with the diagnosis code if needed
What is PXDX
400
As a CCF rep, you will now be able to handle ALL CCF calls except those asking about their transactions with the mastercard.
What is False
400
You would look under this tab and "heading" to quote benefits for Quest Diagnostics
What is medical, outpatient lab and radiology facility services
500
Used as a single sign on for many systems you use every day
What is corkboard
500
FSA account provides runout as a standard offering, and some clients provide an additional option known as this. Please advise the name of this additional option, and the eligible timeframe associated.
What is Extended Claim Period, 14 1/2 months, 120 days, March 15th
500
You can look here to see if any vendors are responsible for services in a specific zip code
What is service area lookup tool
500
You can spend an entire day without ever leaving OneView!
What is True
500
You can launch BA from these 3 places
What is OneView, Corkboard, and your desktop
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