Name at least two reasons why an ID Card will be generated.
What is New Enrollment, PCP Change, Subscriber Name Change, Change in Eligibility (plan/product change), reinstatement, HMO Dependent addition.
100
Why is a Reason Code required?
To make sure an ENTS is delivered.
100
A Dependent will be canceled on this day
What is the 31st Day
100
The Member Status of a Court Order will be
What is Blank (nothing is entered for the status)
100
Name the type of Description used to make a note for a Subscriber, a Whole Family, or 2 or more members.
What is ELIG
200
An ENTS would not be sent for this type of member event.
What is Death
200
Where in Facets is the Void Event located?
What is EDIT
200
If a Group requests to enroll a newborn, then a 31 MD Baby will be reinstated this day
What is the day following the separation date
200
What two types of notes are required for a Court Order
What is ELIG-XX (or ELIG) and Court Order
200
What is entered if no language is selected?
What is NS01 or Not selected
300
What is the purpose of checking the Auto Actions
What is Did an ENTS generate
300
Name the event used to cancel a dependent
What is Separation Event
300
this tab will be accessed to suspend billing
What is the Rating Override Tab
300
What date will be keyed as the effective date if the group does not request an effective date and BSC receives the application/request within 31 days of the court order date?
What is The Date of the Court Order.
300
Employees of a group which share the same eligibility belong to:
What is A Class
400
When Manually Generating an ENTS, what is entered as the Batch ID
What is BLUE
400
If a Subscriber cannot be canceled using the Terminate Eligibility Button, then this subscriber section is used to cancel the subscriber
What is Eligibility Section
400
This type of rating override will be entered to make sure the 31 MD Baby is not billed beginning the date of birth.
What is Suspend Rating
400
What date will be keyed as the effective date if the group does not request an effective date and BSC receives the application/request later than 31 days of the court order date?
What is The First of the Month Following the BSC Receipt Date
400
Name the fields required to generate an ID card.
What is
Effective Date (auto-populates)
Type (New, Duplicate, Replacement, Change), Category (M)
500
To Request an ID Card PUll, an email will be sent to this team?
What is LargeGroup.BOS
500
A group can elect to have member's canceled either the ___ ____ of the _____ or _____ _____ of the month. A processor will need to check the group notes to determine which day the member is to be canceled.
What is the Last day of the month or any day of the month
500
This type of rating override will be entered to bill the newborn effective their date of birth.