THE BLUES
THIS MICROSOFT APPLICATION ALLOWS THE USER TO ORGANIZE CONTENT ACROSS NOTEBOOKS, SECTIONS AND PAGES.
WHAT IS ONENOTE?
WHEN FAST TRACKING COST SHARE OR CREATING A NEW ACCUMULATOR OR NAMED LIST, THIS TYPE OF REQUEST MUST BE SENT FOR APPROVAL.
WHAT IS A GBL-ENT REQUEST?
IF A NEW GLOBAL COST SHARE MAXIMUM IS NOT DEFINED IN A CERTIFICATE OR LOWER TRUMPING DOCUMENT, THIS MUST BE UPDATED, OR A CONFLICT MAY OCCUR DURING TRANSLATION.
WHAT IS THE DISPLAY NAME?
WHEN DOING A KEYWORD SEARCH IN THIS WEB-BASED PLATFORM, ALL DOCUMENTS THAT INCLUDE THE KEYWORD SHOULD BE REFERENCED FOR INFORMATION.
WHAT IS SHAREPOINT?
WHEN AN ASC PLAN MOD INCLUDES COVERAGE FOR BOTH REGULAR AND MEDICARE MEMBERS. THE REGULAR ASC PLAN MOD SHOULD BE COMPLETED FIRST AND THIS FEATURE SHOULD BE USED TO COMPLETE THE MEDICARE ASC PLAN MOD.
WHAT IS THE COPY DOC FEATURE?
EVERY YEAR, UAW-BCBSM JOINT PROGRAMS AND LIFESECURE PARTNERS WITH THIS ORGANIZATION IN THEIR EFFORTS TO FEED HUNGRY CHILDRED THROUGH PROGRAMS LIKE FREE SCHOOL BREAKFAST.
WHAT IS THE UNITED WAY?
IF AN EXISTING DIAGNOSIS NAMED LIST IS BEING EDITED UPDATES ARE REQUIRED FOR THE VERSIONS THAT INCLUDE OR DATE BACK TO THIS DATE.
WHAT IS 01/01/2018?
WHEN A COPAY IS BEING REMOVED IN ITS ENTIRETY, THE COPAY SHOULD BE ADDED TO THE DOCUMENT AND THIS BOX SHOULD BE SELECTED.
WHAT IS REMOVE MAXIMUM?
WHEN A COVERAGE AGREEMENT OR BENEFIT PACKAGE ID (BPID) IS NOT AVAILABLE, A MEDICAL STRING MAY BE OBTAINED FROM THIS APPLICATION.
WHAT IS FORMS TRANSLATION MANAGER (FTM)?
THESE TYPES OF DOCUMENTS DO NOT TRANSLATE AND HAVE NO BPID, AS NO ACTUAL BENEFIT PACKAGE EXISTS FOR THESE GROUPS.
WHAT ARE GPV’S?
IN 2022, DIVERSITY MBA MAGAZINE RANKED BCBSM AS ONE OF THE BEST PLACES TO WORK FOR THESE INDIVIDUALS.
WHO ARE WOMEN AND DIVERSE MANAGERS?
THIS INDICATOR IN BENEFIT EDITOR IS ONLY AVAILABLE FOR A STANDALONE PRIMARY DIAGNOSIS RULE AND ALLOWS FOR MULTIPLE DIAGNOSIS CODES TO BE BILLED ON AN OUTPATIENT FACILITY CLAIM.
WHAT IS THE FACILITY HANDLING INDICATOR?
BEFORE REQUESTING A NEW COPAY, DETERMINE IF THE GENERAL COPAY OR THIS COST SHARE MAXIMUM CAN BE USED TO ACCOMMODATE THE COST SHARE VALUE.
WHAT IS THE SPECIALIZED COINSURANCE?
TO ENSURE THAT THE BENEFIT EXPLAINER QUICKVIEW TEMPLATE ACCURATELY DISPLAYS TIER BENEFITS, ALL HOSPITAL TIER DOCUMENTS MUST BE LOADED TO DOC EDITOR USING THIS DOC CATEGORY.
WHAT IS A CST RIDER 3?
WHEN REVIEWING THIS PCR TYPE, THE ONLY ACTION WOULD BE TO ASSIGN THE PCR TO THE APPLICABLE CODES.
WHAT IS D – DOCUMENTATION ONLY?
THIS AREA WITHIN BCBSM, MAINTAINS KEY POLICIES SUCH HAS THE HEALTH INFORMATION PRIVACY POLICY AND THE PRIVACY INCIDENT RESPONSE MANAGEMENT POLICY.
WHAT IS THE PRIVACY OFFICE?
WHEN A NEW ACCUMULATOR REQUIRES MANUAL CODING TO EXECUTE IN A SPECIFIC MANNER I.E. COUNT MORE THAN JUST THE EVENT FLAGS SET IN HISTORY, THIS BOX MUST BE SELECTED?
WHAT IS THE CONDITIONAL RENEWAL BOX?
THIS INCLUDES ALL DOLLARS FROM THE CURRENT BENEFIT YEAR PLUS THOSE FROM THE PREVIOUS YEAR’S FOURTH QUARTER UNCONDITIONALLY, MEANING WHETHER OR NOT THE MEMBER’S DEDUCTIBLE WAS MET AND DOLLARS WERE OR WERE NOT PAID.
WHAT IS MICHIGAN 4TH QUARTER CARRYOVER?
THIS FILE, HOUSED WITHIN NASCO PROCESSING SYSTEMS (NPS), CALCULATES BENEFIT ACCUMULATIONS AND MAXIMUM INFORMATION REAL-TIME.
WHAT IS THE BENEFIT ACCUMULATION FILE?
IN THESE IBU RIDERS, RX CARVEOUT RULES ARE PRESENT AND NO COST SHARE VALUES ARE ESTABLISHED AS COST SHARE IS REMOVED SYSTEMATICALLY.
WHAT ARE THE NATIVE AMERICAN LIMITED COST-SHARING RIDERS?
WITH THIS PROGRAM, BCBSM HAS BEEN PROFILED IN MORE THAN 30 COUNTRIES ACROSS FIVE CONTINENTS.
WHAT IS THE COLLABORATIVE QUALITY INITIATIVES PROGRAM?
THIS UNIQUE IDENTIFIER, TIED TO AN EVENT, CAN BE FOUND ON A NASCO CLAIM AND DETERMINES WHETHER OR NOT A SERVICE WAS COUNTED.
WHAT IS AN NPS FLAG NUMBER?
WHEN ADDING AN AGGREGATE OUT-OF-POCKET MAXIMUM, THE DISPLAY NAME SHOULD BE UPDATED TO THIS.
WHAT IS CONTRACT OUT-OF-POCKET?
THIS GENO TABLE IS THE FIRST ITEM REFERENCED DURING CLAIMS PROCESSING AND IDENTIFIES IF A CLAIM WILL BE PROCESSED THROUGH THE TRIPLE TIER HOSPITAL LOGIC.
WHAT IS MIHMPTAB?
THESE THREE PROCEDURE CODES ARE CONSIDERED BEHAVIORAL HEALTH ONLINE VISIT CODES IF BILLED BY AMWELL.
WHAT ARE PC’S 99213, 90792 AND 90834.