It helps pay for medical costs for individuals with limited income and resources and meet eligibility requirements set by the state.
What is Medicaid?
100
Determines what clinical info/docu is needed to determine BE.
What is a Care Manager?
100
While the policyholder is on claim, she or he does not have to pay for his or her policy once this provision is met. The policyholder will resume paying for the policy when they end the claim.
What is WOP (Waiver of Premium)?
100
The pet cat of Sarah Palmer.
Who is Oscar?
200
The #1 Claim Diagnosis.
What is Dementia?
200
It has 3 Types: No Duplication, Partial Duplication, Complete Duplication.
What is Coordination of Benefits?
200
Works to gather the information/documentation requested by CM/PS.
What is Admin Team?
200
These are activities that are not required to sustain life. (handling finances,grocery shopping,laundry)
What are Instrumental ADLs?
200
The training director
Who is Rachael O'Toole?
300
The year when JH began selling LTCI.
What is 1987?
300
The setting with the purpose to promote, maintain, or restore a patient’s health and reduce the effects of disease or disability.”
What is Home Health Care?
300
Claim approval
What is BE + PE?
300
The time during which payments for covered services will be made under the LTC insurance policy.
What is Benefit Period?
300
She graduated with bachelor's degree in Economics.
Who is Denise Apicco?
400
The Claim system which was implemented in July 2009 that has Front end imaging, task driven,paperless system and increased automation.
What is Promise?
400
An institution primarily engaged in providing, by or under the supervision of physicians, inpatient diagnostic and therapeutic services
What is a hospital?
400
It include the Service center, technical team and BIU.
What are Support Services Dept.?
400
The maximum amount the policy will pay for each day of covered services.
What is Daily Benefit (DB)?
400
The only male trainer in LTC Claims.
Who is Jason Robicheau?
500
It refers to JH products sold to individuals by insurance agents and brokers.
What is Individual LTC?
500
It impacts how we pay.
What is Medicare?
500
Evaluates bills/invoices and process the claim payment in the appropriate claim system.
What is a Benefit Specialist (BS)?
500
The number of days where you must be eligible for and pay for the covered services before the policy begins paying.
What is Elimination Period (EP)?
500
Graduated BSE - Physics and had worked for MBPS almost 4 yrs.