Acronyms
Insurance 101
Organizational
Name That Plan
Life Cycle
100
What does "M&R" stand for?
What is Medicare and Retirement
100
this definition is the percent of covered cost after your deductible is met
What is Coinsurance
100
This is the largest Operational area in Eau Claire
What is Claims
100
This Plan provides Comprehensive Care at a low premium.
What is HMO
100
At what phase does a customer's lifecycle begin
What is Enrollment
200
What Does "C&S" Stand For?
What is Community and State
200
This is a fixed dollar amount that you pay for each instance of specified service
What is Copayment
200
compares government reported information with information in UnitedHealthcare's systems, determines which is accurate, and makes appropriate changes if necessary
What is Reconciliation
200
This Plan provides comprehensive care and partial Out of Network coverage with a higher premium.
What is PPO (aka NPPO)
200
What are 2 of the 4 ways an Enrolle can enroll in services
What is (mail, broker, online, telephone) any 2
300
What does "CMS" Stand for?
What is Centers for Medicare & Medicaid Services
300
A contract offered by an insurance company to an individual or business?
What is Insurance
300
comprised of individuals with a variety of different skill sets and different areas of expertise.
What is Project Management
300
This plan would be some someone with a chronic condition
What is SNP (Special Needs Program)
300
Where does the physical mail go to in the initial enrollment process
What is Xerox in Hot Springs, AR
400
What does "HMO" Stand for?
What is Health Maintenance Organization
400
You pay this to an insurance company so they will help you in a time of need
What is Premium
400
Who is the Training manager for BRE?
Who is Connie Le Cleir-Meyer
400
This Plan has no network, no PCP's or authorization required.
What is PFFS (Private Fee for Service)
400
What is the term for when a customer becomes an active policy holder?
What is Approval
500
What does "E&I" stand for?
What is Employee and Individual
500
The first modern insurance company
What is Lloyds Coffee House (aka: Lloyds of London)
500
What department does Learning and Development fall under?
What is Customer Experience
500
This plan is a hybrid of HMO's and PPO's.
What is POS (Point of Service)
500
Who ensures CMS and UHC M&R data match
What is Reconciliation
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