Is a process used by insurance companies to evaluate whether to accept an applicant for health coverage and/or to determine the premium rate for the policy.
What is Medical Underwriting?
100
Heart doctor
What is Cardiologist?
100
LHP Department that takes care of prior authorizations, case managent, etc
What is Outcomes Medical Management?
100
"What's Happenin' Hot stuff"
What is Sixteen Candles?
200
MBR
What is member?
200
The federal health insurance program created to provide health coverage for Americans aged 65 and older and later expanded to cover younger people who have permanent disabilities or who have been diagnosed with end-stage renal disease or amyotrophic lateral sclerosis (ALS).
What is Medicare?
200
I'm the "gatekeeper"of a patient's care
What is Primary Care Physician?
200
We will not use your confidential information or disclose it to others without your authorization, except for
the following purposes:
What is Treatment, Payment and Operations?
200
"I feel the need ... the NEED FOR SPEED!"
What is Top Gun?
300
CLM
What is Claim?
300
A drug that is similar to a name-brand drug but not covered by original patents and therefore cheaper.
What is generic drug?
300
I specialize in elderly care
What is Geriatrics?
300
This LHP Department maintains all member and group records
What is Enrollment?
300
"You can't handle the truth!"
What is A Few Good Men?
400
OOP
What is Out of Pocket Max?
400
A written statement from your prior insurance company or health plan documenting the length of time you were covered.
What is a certificate of credible coverage?
400
When you break your arm, you probably would need to schedule an appointment with me.
What is an Orthopaedic?
400
Lovelace Health Plan's CEO
Who is Ben Slocum?
400
"Help me, help you"
What is Jerry Maguire?
500
TPL
What is Third Party Liability?
500
An arrangement in which an employer hires a third party to deliver administrative services to the employer such as claims processing and billing; the employer bears the risk for claims.
What is ASO Administrative Services Only?
500
I specialize in the treatment of arthritis
What is a Rheumatologist?
500
IBAC
What is Interagency Benefit Advisory Board?
500
"Screws fall out all the time. The world is an imperfect place."