ABCBS Leadership
ABCBS Phone number
What is five zero one- three seven eight- two thousand
Members and their family members, Agents and their representatives
What is External Customers?
Products no longer sold but continually managed.
What are Closed Products
Payment due at the time of service
What is a copay?
Licensed insurance Agent who helps the customer enroll in and manage a healthcare plan
What is Agent of Record?
Who is Curtis Barnett?
Membership financial, membership Enrollment
What is Internal Customers?
Small Group policies that may qualify for subsidies?
What is SHOP On Exchange?
Payment made monthly for insurance coverage
What is a premium?
March 23, 2010
What is the date when the ACA was signed into law?
Executive Vice President and Chief Administrative Officer
Who is Kathy Ryan?
Customer Service Representatives, Correspondence Teams make up this
What is Customer Service?
This Small Group policy is purchased through an Insurance Agent, or Insurance company and does not qualify for subsidies.
What is SHOP off exchange?
Act of 1996 which is a federal law that required the creation of national standards to protect sensitive patient health information from being disclosed without the patient’s consent or knowledge.
What is Health Insurance Portability Accountability Act?
Statement that is sent to a member after a claim has been processed.
What is an Explanation of Benefits?
Senior Vice President for Internal Operations
Who is Judy Blevins?
This area process claims and makes any necessary adjustments
What is the Claims Administration?
This is for members under the age of 19 and does not require a waiting period
What is Pediatric Dental Product?
Total amount of member responsibility over a calendar year that can be capped at a certain amount.
What is an Out of Pocket?
Name, ID, DOB, and Address
What are the 4 points of authentication for a member?
ABCBS Regular Business Manager
Who is Wanda Davis?
This team maintains eligibility and membership information
What is Membership Enrollment?
This program provides vision care for members over 65 when services are provided by a participating provider
What is the MediPak Vision Care Program
Summarize what was discussed on the call.
Ask, “Is there anything else I can help you with today?”
Offer the reference number and survey
Thank the caller.
What is the wrap up and close the call step of the call flow?
Guaranteed issue, which prohibits insurers from denying coverage to individuals due to pre-existing conditions.
Dependents are permitted to remain on their parents' insurance plan until their 26th birthday.
Annual or lifetime coverage caps on essential benefits were banned.
What are the provisions of the ACA?