The ID used by a system or Customer Service Rep to access data in Benefit Query?
What is the Option ID?
100
This was previously known as Proxy ID
What is Plan ID?
100
A Core application with client customizations applied.
What is a Client application?
100
Expert knowledge of current applications and vision for the future business needs are key aspects of this role.
What is a Business Analyst?
100
One of the primary goals of this was to provide coverage to the uninsured and underinsured.
What is Health Care Reform, Obamacare, or PPACA?
200
The process in which a user is able to make another team member the owner of a plan.
What is the Assign to feature?
200
This process reduces the number of identical plans stored in the database.
What is duplicate checking?
200
When a plan is Reinstated, it returns to this workflow status.
What is a Production plan?
200
What Benefit Query audits.
What is every mouse click taken by a Customer Service Representative?
200
This concept describes FJAs ‘out of the box’ shelf offering.
What is a Core application?
300
This application allows users to see but not change data.
What is Benefit Query?
300
Under this kind of product a member pays only a Copayment when visiting a network provider. The member pays 100% of the cost when visiting a non-network provider.
What is an Health Maintenance Organization (HMO)?
300
The reason a service was performed is designated by these codes.
What is a Diagnosis Code?
300
The process of comparing client requirements to current features.
What is a gap analysis?
300
The electronic response sent from the insurance carrier to a service provider to provide information about a member's eligibility and coverage.
What is a 271?
400
Gym Membership Reimbursement and Smoking Cessation are examples of this type of program/plan.
What is Health and Wellness?
400
Benefit scripts provide these users with consistent language to use when describing a benefit to a member.
What are Customer Service Representatives?
400
Six questions a BA must always keep in mind.
What are Who? What? When? Where? Why? How?
400
These users enter data into the Product Machine.
Who are Product Engineers/Product Modelers?
400
This describes the way in which requirements are satisfied.