Networks
The network used for choice members.
What is the Providence Choice Network?
The place a member can obtain a consent form.
Where is the PHP external website?
The time of year that members can make plan changes for the following calendar year.
What is Open Enrollment?
This is when address changes have to go through the employer.
What is EDI groups?
Whether or not we can change the address for MBR ID 113213008-00.
BONUS: Why or why not?
What is no?
BONUS: EDI Group - changes go through employer.
The network used for Connect members.
What is the neighborhood network?
The length of time verbal consent is valid for.
What is end of that business day?
The phone number for the Individual MA Team.
What is 503-574-8791, option 2?
The way a direct individual member updates their address with PHP.
What is submit a written notice to Membership Accounting? (mail or email)
Whether or not we can give a parent of an intact family information about a dependent under 18 regarding IUD's (family planning).
What is no?
The network used in Oregon and SW Washington for all non Choice and Connect members.
What is the EPO/Signature network?
The length of time written consent is valid for.
What is 24 months from the date that it is signed?
The place a prospective member can find information about premium rates for our individual plans.
What is the PHP external website?
BONUS bragging points: If the rep can pull it up online!
The way a FFM individual member updates their address with PHP.
What is contact the FFM by phone or online at healthcare.gov?
When ordering an ID card, the type that needs to be selected in order for just an ID card to be sent to the member.
What is replacement?
The network used for a member with in-network benefits in Seattle, WA.
What is the FCHN network?
Whether or not consent is on file for Mark McGowan to speak about his wife's account under MBR ID 112999388-00.
BONUS: If on file, what date does it expire?
What is yes?
BONUS: Expires 09/19/18
The different ways a member can make a premium payment.
What is by check, by phone, automated self phone and online bill pay?
What a FFM individual member needs to indicate when updating their address in order for their changes to come through on the file.
What is make a life change? (not profile change)
The 4 things we need to provide to a member if they're calling for a replacement ID card, in order to give this information to their doctor and/or pharmacy.
What are the MBR ID #, group #, PCN # and BIN #?
The network used for a member with in-network benefits traveling to Boise, Idaho? (Southern Idaho)
What is Brightpath OR PHCS/Multiplan Network?
***Network layering***
This is when a dependent makes a verbal request when they feel endangered or threatened and want their protected health information be sent to a different address instead of the subscriber's address.
What is Confidential Communication: Endangerment?
The type of federal subsidy that reduces the amount that members pay for their premium, and what members specifically it applies to.
What is APTC - Advance Premium Tax Credit?
Who is FFM individual members?
The steps it takes to update an address for a PERS Early Retirees member.
What is route a CSI to MEM.MDC?
The pin # for MBR ID 112885289-00.
What is 3041?