Snickers
Twix
Hershey Bars
Smarties
100
The Billing Component Application is found in this group.
What is in the Medical Plan Application group. (page 11)
100
“%”
What is use this symbol as a wildcard.
100
DAILY DOUBLE - Name 7 ways to eat corn!
What are: corn on the cob popcorn corn fritters corn meal corn bread corn tortilla creamed corn corn flakes corn muffin corn chips
100
“CTRL+O”
What is how to search.
200
True or False - Users can also transfer receipts that have already been applied to a Billing Entity/Due Date into a user-defined Holding Account for the same Billing Entity.
What is “True” (Page 79)
200
DAILY DOUBLE - Name 5 contemporary movie directors!
a. Who are: steven spielberg rob reiner martin scorsese quentin tarantino james cameron oliver stone ron howard spike lee george lucas peter Jackson
200
TRUE OR FALSE - Medicare members are rated according to their entitlement categories, indicated in the Subscriber/Family or Enrollment applications.
What is “TRUE” (Page 12)
200
In the Billing Definition section, these two fields are currently not used?
What are Delinquency Definition and Discount Calculation
300
The Tiers section is used to determine how the tier premium should be derived using these three things.
What is smoker, gender or both
300
Fee Calculations are based on these methods.
What are: percentage of premium, flat fee amount, and flat per head amount.
300
TRUE OR FALSE - When a billing batch is run, Facets does not include all billing activity since the prior batch.
What is “False” (Page 21)
300
DAILY DOUBLE - Name 5 types of Outer Space Objects!
What are: asteroid black hole comet meteor planet supernova star satellite quasar hubble telescope
400
DAILY DOUBLE – 5 things that you buy on an impulse while standing in the check-out line at the store!
What are: tabloids gum candy mints batteries razors film lip balm pens lighters
400
This drives the entire billing process; it defines billing frequency, day to bill, premium invoice reconciliation, and grace period. It also allows the Facets reporting system to produce premium statements and reports from this data.
What is the Billing Application Group? (Page 11)
400
What two fees are used by XLHEALTH?
What are: Wellness, HRA (for premium only) (claims includes surcharge), and COBRA (Fees are defined by line of business with the majority being billing component IDs. (Page 89)
400
“AFA” stands for this!
What is Alternate Funding Agreement
500
This subsection tab is used to reflect a member’s specific stop loss amount.
What are Laser Stop Loss Tiers (Page 59)
500
In the Billing Definition section, what two fields are currently not used?
What are Delinquency Definition and Discount Calculation
500
This is used to view details about premium billings that have been produced from a Facets batch run (current and retroactive).
What is the Billing Summary. BONUS: For 100 bonus points, come and show the class how to get there! (Page 39)
500
Name five fields found on the Payment Info section.
What are: • Effective Date - Effective date of bank is the same as the subgroup effective date • Terminate Date – If applicable, the date of the payment info or change in bank data • Enter– Bank Funds Transfer only • Bank – ABA number of the bank. Validated against the Bank ID table. Information is downloaded from the Federal Reserve. • Account Name – Auto populated based on the bank number entered above • Account Number – Supplied by CMS • Account Enter – The codes define the Enter of account (27-Payment from check, 37-Payment from savings). Others listed are not applicable. • Hold Draft – Optional. Select check-box if bank should hold a bank draft for this account. • Record Begin Date – Required. Date record became effective. • Authorization on File – Select if bank has authorization on file for this account. • Expiration Date – Enter date on which record was terminator. Required if type is Credit Card. • Pre-note code – Indicates the information entered was received in written format • Last Pre-note date – Auto populates with the date information was included in SAP business partner master data interface
M
e
n
u