834
According to the 834 Companion Guide, the NM1 segment
contains which of the following pieces of information?
The member’s Social Security number,
The member’s name
A reinstatement request can be____.
Allowed once in a 12-month period for
each contract
In PSP, this field will indicate if there is an application
exception.
Status Field
You receive a request via the member website from a
subscriber who wishes to add an email address to his On-
Marketplace health plan. How do you process this request?
Send a Client Letter to the member
advising him
to contact the Marketplace to perform
the update.
Which of the following people can request the termination of a
Florida Blue plan? Select all that apply.
The subscriber,Legal Representative,
Responsible Payee
A Florida Blue policy reinstatement allows a _____.
Terminated policy to resume active
coverage
A Florida Blue policy reinstatement allows a _____.
Terminated policy to resume active
coverage
After checking PSP for a member's application, the next system
to check is _____.
MembersEdge
The Person Miscellaneous Maintenance screen has four tabs.
Select the tab that EM&B uses ______.
Health Status
A “Void” in a line of MembersEdge data indicates which of the
following:
That line of data does not apply to the
members account
According to the 834 Companion Guide, the NM1 segment
contains which of the following pieces of information? Select
all that apply.
The member’s Social Security number,
The member’s name
If a reinstatement request is received via a SR and due to an
invalid reason, the SA will:
Send a letter and create a child SR to
transfer to location 210
After a member submits a health or dental application, the
application passes through several systems. What happens if
the enrollment does NOT successfully pass through each
system?
The system creates an exception record
If a member is “effectuated” their membership is:
Active
Which of the following is not feature of MembersEdge?
Mailing member correspondence
Which of the following is NOT a valid reason for reinstating a
member contract?
Member forgot to make payment due to
travel out
of the country
The Billing / Delinquency Trigger Maintenance screen shows
which day the member is set to be terminated.
Yes