BEACON
MEDISYS
EPST/ESHARE QRG
READY OR NOT!
100

DOS 04/26/2019, Claim ID 167069575100

For what service does the member have a copay?

Office Visit

100

What is the AOR ID?

NJIAAA858883

100

New Jersey Classic HMO

PER THE SOB, WHAT IS THE MOOP?

$6700

100

David’s parents have three sons: Snap, Crackle, and what’s the name of the third son?

David

200

For DOS 04/26/2019, Claim ID 167069575100, who is the provider?

Martin D. Pelavin

200

WHEN WAS THE CLIENT PAYMENT METHOD CREATED?

01/07/2019

200

WHAT IS THE PART D DEDUCTIBLE?

$200

200

What did the beach say when the tide came in?

Long time, no SEA

300

For DOS 10/03/2020 claim ID 196514623600

What is the place of service?


Urgent Care Facility

300

WHEN DID THE MEMBER BECOME ACTIVE?

02/2019

300

IS N.J A GI STATE?

NO

300

I’m tall when I’m young, and I’m short when I’m old. What am I?

A CANDLE

400

For claim ID 196514623600

What is the total charge of the claim?

$266

400

WHERE CAN I LOCATE THE PLAN AND WHAT PLAN DO THE MEMBER HAVE ?

LOCATE IT UNDER HEALTHCARE TAB IN BENEFIT SEARCH; THEY HAVE A NJ CLASSSIC HMO

400

WHAT IS THE COPAY FOR URGENTLY NEEDED SERVICES?

$65

400

FINISH THE SONG

In West Philadelphia Born and raise....

On the playground is where I spend most of my days...etc!

500

For claim ID 191206914500 - 10/03/2020

What is the disallowed amount and what is the reason for the disallow?

$413; Paid per your contract or Out Of Network rates

500

IN THE MEMBER DIARY, WHAT NOTE WAS ENTERED ON 11/19/2020?

THE PCP WAS CHANGED SUCCESSFULLY.

500

HOW MUCH IS A TIER 5 SPECIALITY DRUG?

PREFERRED RETAIL- 29% MAIL ORDER- NOT AVAILABLE

500

Mary has four daughters, and each of her daughters has a brother. How many children does Mary have?

FIVE—each daughter has the SAME brother.