Acronyms
OOP
Out of Pocket
how does AEP work
Annual enrollment period that is from October 15 to December 7
What is your trainer's name ?
Larry Benitez
Can a third party discuss member's general billing information ?
yes they can
DMR
Direct member reimbursment
who is eligible to get Medicare
Someone with disability or by turning 65 years old, they can enroll 3 months before birth month, the birth month or 3 months after the birth month.
what is the color that represents hope?
Green
Can a broker update member's PCP information on a member's account ?
The member does not need to be present to provide permission; the broker only needs to verbally attest that they have received permission from the member to update PCP
ANOC
Annual Notice Of Changes
what is LEP
Late Enrollment penalty is a fee that members get since they did not enroll on time for a MAPD or PDP plan as soon as they were eligible
who is the father of PSICOANÁLISIS?
Sigmund Freud.
What cannot be discussed with a broker ?
Sensitive Member Information
SSA
Social Security Administration
What is the Coverage gap
is the stage that members will pay 25% coinsurance for their medication since the already spend $4.660 in drug spend for 2023 and in 2024 is going to be $5.030.
Which year Freddy mercury passed away
1991
Can an AR update member's address ?
They cannot without member's authorization
PERS
Personal Emergency Response System
What is capitation
A set payment amount Per Member Per Month (PMPM)
which year America was discovered
1492.
Can a POA update a MOP method of payment on the account ?
yes they can