PHI
What does PHI stand for?
What does PHI stand for?
T/F: Member applied mid Sept for 9/1/2019 effective date, member will be invoiced for Sept and Oct on the same invoice.
TRUE
Where is BCBSMN headquarters located?
Eagan MN
Member called to make pmt on vision policy but there is no invoice, where would you find members rate?
ICIS
This policy is one of the only policies that cannot be on VIP Holds.
Med Cost/MAPD
How long is Verbal Auth good for?
Good for 24 hours or until inquiry is complete
This line of business receives "splash notices" on their invoices when they are delinquent.
Med Cost
When was BCBSMN founded ?
1933
You would check this system to see if Med Cost policy is termed.
M360
When termed, this policy has a 63 day grace from date canceled to for REI.
Sr Gold/Medd Supp
Agents assistant calls in requesting account info. Are we able to give info?
Yes, as long as they provide the correct Agency Code and ID
Members effective date shows 9/1/2019. Their Sept prem was invoiced with Oct prem on 9/10/2019. Member calls to make payment on 10/2/2019 for Sept, will we need a VIP hold placed on account?
No, member has until 10/31/2019 to pay Sept/Oct
Who is the CEO of BCBSMN?
Craig Samitt
Where do we find the reason why a payment failed?
Ebill
T/F: You route REI requests for Sr Gold policies to 9756CCDREI.
FALSE
Member calls in stating they received a letter with another members info, What should be done?
Advise to send letter back to BCBS
T/F: Ebill will only update before pulling an EFT if PSAR is a lesser amount than what the pending payment is for.
TRUE
T/F: BCBS is a federation of 30 separate US health insurance organizations and companies.
False- Federation of 36 organizations/companies
Member was sent a refund, to see if it was cashed what system would you check?
CMS (Cash Management System)
Member called in to REI but ECS shows cancellation code 29. What do you advise member.
Advise member req to cancel and will need to re-enroll.
Mother calls in wanting info on minor childs account but no auth is on file. What would you check and advise?
Check original App to see if the parent calling signed/ advise to send in Birth Certificate for authorization
At the moment, this line of business is the only one that still receives invoices even with a credit on account.
Individual
Anthem is ranked ___ on the Fortune 500.
33rd
What is the process used when removing a dual umi from the system and where do we find this information?
CI Delete and found in INSINQ
MNSURE member calls to reinstate their cancelled policy. Member advises of amount w/ subsidy but system does not reflect subsidy. What do you do?
Advise member needs to pay as billed until update is received and applied.