Screens
Displays enrollment info including effective dates, status and types of coverage
What is the SEIN screen?
Where the name is entered into the system
What is the "name" field"?
HIPPA Authorized
What is HA?
The system that provides access to the member's information
What is the Client Enrollment System or (CES)?
Another name for the Centers for Medicare and Medical Services
What is CMS?
Where you would reorder member's ID cards
What is SEIS?
Where you would find when coverage started for the plan
What is the "beginning date of coverage" (BEG OT) field?
Power of Attorney
What is PA or POA?
Allows you to navigate in CES
What are the "Function" keys?
The way to get back to the previous screen in CES
What is the "Return" or "F3" key?
Displays member info such as: processing exceptions, COB information, and other specific functions
What is the SEID screen?
Where the "in house" system generated number is located. (Bonus: The name of the number)
What is the Subscriber ID number field or SBR ID field? (What is the "G" number?)
Low Income Subsidy or "extra help"
What is LIS?
Can be used to view the plan name, address and DOB. It's also primarily used by the membership and enrollment teams
What is MAAG?
Indicates the plan coverage option for the member
What is the Coverage ID field?
Preferred Provider Organization
What is PPO?
What is PIRS and/or FIPS?
Where you would find what type of insurance coverage the member has (Bonus for what the types are)
What is the PRD field? The types of coverage would be DUG= Drug Plan and MED= Medical Plan
Explanation of Benefits
What is EOB?
The way(s) a member's identification number is identified as
What is A (Active) or I (Inactive)?