Regulatory Riot
This is the term for an unexpected balance bill - the difference between charges the provider billed and the amount covered by the health plan
What is surprise medical billing (or surprise billing)?
What are: stage, harmonized, and integrated?
*WILD CARD*
Cinco de Mayo celebrates the Mexican forces victory over this nation's larger and better equipped army
What is France?
This methodology was used for development of the HPPDM Platform
What is agile?
The seven-digit code after a provider's name on their kp.org site page is known as this
What is a CPM Resource ID?
This is the common name of Division BB - Private Health Insurance and Public Health of the Consolidated Appropriations Act
What is the "No Surprises Act"?
The photo display indicator is only available on this input file
What is the CPM Xref file (or the CPM supplemental data file)?
The WebUI allows KP to meet this timeline to update data on the directory
What is two business days?
These are used to determine level of effort by the testing team, mapping team, or development team
What are story points?
kp.org displays multiple locations for internal providers for all regions except this one
What is the Northwest?
When a medical bill is more than $400 above the good faith estimate, the patient may be entitled to start this.
What is a patient-provider dispute?
*WILD CARD*
In the U.S, the third highest away-from-home (restaurant or bar) beer sales are on Cinco de Mayo, but this day is the absolute highest
What is St. Patrick's Day?
What is a material change?
Unlike a user story, this is used to alert IT that planned functionality is not working
What is a defect?
In Southern California, internal providers are referred to as "Kaiser Permanente physician" for their affiliation. There are a total of this many different terms for an internally affiliated provider across the 6 regions utilizing FDL
What is 4?
NCAL / SCAL: Kaiser Permanente physician
CO / HI: Kaiser Permanente provider
GA: Kaiser Permanente medical center provider
NW: All Kaiser Permanente Physicians and Surgeons
This President issued a final rule through the Department of Health and Human Services to restrict unexpected balance bills from medical providers?
Who is Joe Biden?
What is the NUCC Taxonomy code?
All of these elements can be changed via WebUI except which one: NPI, Last Name, Phone Number, or ZIP code.
What is NPI?
*WILD CARD*
Mexican Independence Day is celebrated on this date
What is September 16th? (also accept: What is not Cinco de Mayo?)
*WILD CARD*
The invasion of Mexico was instigated after the insolvent nation did this
What is defaulted on their loans?
*WILD CARD*
This President began the tradition to celebrate Cinco de Mayo at the White House
Who is President George W Bush?
This critical data element is housed here in the HPPDM platform: GEO_LOC.ST_CD
What is practice location state?
These 3 regions support the functionality to make changes via WebUI
What are HI, CO, and GA?
This lofty title is given to the IT professional guiding the team (or workstream) through the agile process
What is SCRUM MASTER?
Instead of Find Doctors & Locations, internal providers in NCAL point to this site
What is My Doctor Online?