FEP
Application used to view FEP member information.
What is FEP Member360?
Inquiries must be resolved within this timeframe.
What is 10 calendar days?
Application used to quote benefits.
What is Service One?
The task used for claims.
What is Manage Claims?
Used to access PTI.
What is Rocket?
Option used to view Coordination of Benefits.
What is Special Info?
National network of state licensed primary care Physicians for telehealth.
What is Teladoc?
Must be searched in benefit documents.
What are hearing aid benefits?
Claims are tracked this way.
What is the Rvwd check box?
Function used to view claims in PTI.
What is F10?
FEP plan groups.
What are FEHB & PSHB?
Benefits that must be quoted.
What is in network & out of network?
Preventive schedules are found here.
What is KML?
Task used to view Remittance Advise
What is Manage Vouchers?
Rx benefits are found here.
What is Service One?
FEP Plan types.
What are Standard, Basic, & Blue Focus?
Medicare COB primacy with active employer coverage.
What is secondary?
Used to search benefits with Intellisearch.
What are keywords?
Used to route a claim for adjustment or research.
What is other actions menu, adjust claim?
FEP Rx benefit manager.
What is CVS/Caremark Retail Pharmacy?
High profile FEP members are considered...
What are FEP VIPs?
Type of out of pocket max WEBT members have.
What is Wyoming Combined Out of Pocket Maximum? aka Total INN/OON OOP Max
Plan that has individual & family accumulation thresholds.
What is embedded?
Portion of approved amount that is member responsibility.
What are cost shares? AKA Ded/coi
The list that determines Rx benefits.
What is the Formulary?