Division Codes
Acronyms
Enrollment Changes
Contract Maintenance
Financial Process
100
BlueOptions Predictable Cost Plan with $5000 deductible and $5000 Out of Pocket per person
What is ZAL
100
IMUNE
What is Individual Medical Underwriting New Enrollment
100
Effective Reason for adding maternity to a non-HCR complaint plan
What is 13
100
If an APO deduction is dishonored due to insufficient funds, the item will be re-deposited in a few days. BCBSF will always make _______ to draft the account.
What is 2 attempts
100
Cash Item reason code for Insufficient Funds
What is R01
200
BlueSelect Hospital Surgical Plus Plan with $250 deductible and no Rx deductible
What is UK3
200
CCR
What is Corporate Cash Receipts
200
To advise the member of the effective date of the maternity rider and any adjustment of premiums you send letter
What is DM076DEP
200
If a Transfer Authorization form is not received, the coverage cannot be transferred and the contract will be cancelled with reason
What is 26
200
Bill type code for Paper billing for monthly frequency
What is 26153
300
BlueChoice Guaranteed Issue plan with $1000 deductible and $6000 Family Out of pocket
What is PG5
300
EFT
What is Electronic Funds Transfers
300
All continuous coverage contracts will be entered into RBMS in this contract status
What is a pending (P) status.
300
Cancellation reason code for contract number correction
What is 24
300
Cash Item reason code used when a copy of authorization is requested by receiving financial organization
What is R12
400
BlueCare HSA Plan with $5000 deductible and BlueRx discount
What is GHD
400
MUD
What is Medical Underwriting Department
400
If the wife was excluded from coverage, key this in PX field
What is 6
400
During Address Changes if rates decreased and no APO letter sent is
What is DM754ADR
400
FT code that pairs with refund code 38
What is 25
500
which plans begin with code Y
What is Cover Florida, GoBlue, Miami-Dade Blue
500
IPAA
What is Insurance Portability and Accountability Act
500
When you need to send a bill to the policy holder from the current paid-to-date of the contract to the effective date of adjustment, use billing message
What is BL07
500
If a member requests cancellation for date greater than current paid to date and is unable to make payment today and you offer a callback in 60 days what location do you pend activity
What is Location 088
500
Name the exclusions to the Hold, Deny, and Reinstate process
What is Pharmacy Claims, List bill Contracts, Medicare Supplement contracts enrolled in RBMS, and Contracts that are in a Natural Disaster Status
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