HEALTHCARE

APPLICATIONS

100

Blue Access For Members

What is the self service option for BCBS?

200

Real Time Benefits

What is the system we use to verify a member's benefits in real time?

300

MPUI

What is the system that is used to locate original start date of a policy?

400

BlueStar

What is the client driven system used to verify PHI on a policy?

500

Claims GUI

What is the system primarily used for viewing claims?

ABBREVIATIONS

100

DED

WHAT IS DEDUCTIBLE

200

AA

WHAT IS ALLOWED AMOUNT

300

BEN NAV

WHAT IS BENEFIT NAVIGATOR

400

PT RESP

WHAT IS PATIENT RESPONSIBILITY

500

NPI

WHAT IS NATIONAL PROVIDER INQUIRY

BENEFITS

100

OOP MAX

WHAT IS THE AMOUNT A MEMBER HAS TO PAY BEFORE INSURANCE START TO PAY AT 100%

200

COINSURANCE

WHAT IS THE PERCENTAGE YOUR HEALTH INSURER IS RESPONSIBLE FOR PAYING AFTER DED IS MET?

300

DEDUCTIBLE

WHAT IS THE PREDETERMINED AMOUNT THAT A MEMBER IS RESPONSIBLE FOR PAYING BEFORE YOUR HEALTH INSURANCE BEGINS TO PAY?

400

SERVICE MAX

WHAT IS THE AMOUNT OF VISITS ALLOWED FOR A CERTAIN SERVICE THAT YOUR HEALTH INSURER WILL COVER?

500

SPECIALIST COPAY

WHAT IS THE AMOUNT THAT WILL BE PAID AT THE TIME OF SERVICE WHEN VISITING A SPECIALIST?

HIPAA

100

PHI

WHAT IS PROTECTED HEALTH INFORMATION

200

50,000

WHAT IS THE AMOUNT YOU CAN BE FINED FOR VIOLATING HIPAA?

300

NAME, DOB, CALL BACK NUMBER

WHAT IS VERIFYING INFORMATION?

400

CCRF

WHAT IS A CONFIDENTIAL COMMUNICATION REQUEST FORM

500

SPI

WHAT IS SENSITVE PERSONAL INFORMATION