Movies and Chill
this movie was released on July 6,1994. This movie made Forrest inspires people with his childlike optimism. But one person Forrest cares about most may be the most difficult to save -- his childhood love, the sweet but troubled Jenny.
What is Forrest Gump?
The tile/ tab where we can find the member's name, dob,address in salesforce
What is a member demographics tile?
This mandate covers items such as lancets, glucose test strips and alcohol swabs.
What is Diabetes Mandate?
Faith is a member and wants to know how much her copay will be if she sees a family practitioner . These items must be verified in order to discuss information with the member.
What is Member ID , Full name and DOB?
is the radiology vendor who provides diagnostic imaging and utilization management.
Who is Evicore?
Carl Fredricksen, a 78-year-old balloon salesman, is about to fulfill a lifelong dream. Tying thousands of balloons to his house, he flies away to the South American wilderness
What is UP?
A provider must be part of this network if they are in New Jersey
what is QualCare ?
A mandate that increases member protection and transparency when accessing out-of-network services.
What is Out of Network Bill?
Two ways a member can get a copy of the HIPAA authorization form
Members can request a copy by calling a customer service line
Member can download the form from the website
A medical group who managers their own referral and prior approvals. has a Medical Center number of 14HH
Who is HCP (HealthCare Partners)?
is about how five emotions — personified as the characters Anger, Disgust, Fear, Sadness and Joy — grapple for control of the mind of an 11-year-old girl named Riley during the tumult of a move from Minnesota to San Francisco
what is inside out?
This determines the primary insurance carrier when members are covered by more than one insurance plan.
What is COB (Coordination of Benefits)?
I cover 3 cycles of IVF for Lifetime.
What is IVF Mandate?
Toni called to check about her benefits. You are in the process of verifying identity from the caller. Toni gave 2/23/1992 as her Dater of Birth. Upon checking in the system, DOB is 2/16/1992. Is this a HIPAA pass or HIPAA fail?
What is a HIPAA PASS?
A vendor you may call if you need a DME supplier
Who is Integra Partners?
"This is Sparta!"
What is 300?
CNY HMO Preferred plan that has basic coverage plus DME and Prescription with up to 2-tier level
What is Grandfathered Plan?
Members can qualify on the 3rd trimester to get the electric or manual equipment and they need to get a prescription from their OBGYN, Midwife, provider
what is breast pump mandate?
This form is required when a member wants to give the plan permission to use and disclose their protected health information.It also gives permission for the designee to access member's PHI on the Member Portal and make certain changes on the member's account.
What is a designee form?
Injectable and specialty drug vendor with expertise in pharmaceuticals
Who is Accredo?
Henry sets his heart on romancing Lucy, but she has short-term memory loss; she can't remember anything that happened the day before. So every morning, Henry has to let her remember Again.
what is 50 first date?
The maximum/contracted amount a plan will pay for a covered health care service.
What is allowed amount?
Covers immunization, preventive screeening, from newborn up to 19 years old
What is well-child mandate?
A form that explains how our members’ information is used or disclosed and the rights members have regarding the privacy of their health information, and how to file a complaint if they believe we may have.
Delegated Entity (vendor) processes Mental Health Claims
Who is Carelon?