Data Entry Standards
I should NEVER be entered if given, because I should mirror a particular financial component every time.
what are...COBRA contributions?
I may renew on a different cycle than the plan year
what is...the stop loss policy?
this should be clicked off when cloning a plan year
What is....copy latest plan year data?
the place your OM checkout dashboard is found
What is Report Directory?
The workflow status a ticket is placed in when the account structure has been submitted in lens.
What is Maintenance Ready?
when given multiple COPAY values for a provision I am the preferred input.
what is...the best price to consumer? (lowest copay)
place where I add things up.
a lot of rates could prompt me to use this feature
what is bulk upload?
Data for the plan year that is being renewed.
Provide a link to this on each Jira Ticket
What is the employer's confluence page?
I am listed as unlimited. I should be left blank.
What is...the OON out of pocket max amt?
there can only be one of me per group number.
what are....rates and contributions?
I need rounded up to the highest dollar in lens
what is... a copay value that ends in .50?
I am okay to unresolve.
What is....RX carveout data?
This is a no-go on Confluence.
What is PHI?
Generally, you must pay all the costs from providers up to the deductible amount before this plan begins to pay. If you have other family members on the plan, the overall family deductible must be met before the plan begins to pay.
what is....aggregate deductible?
I am always higher than 100%
what is...the aggregate corridor?
I have a zero dollar in-network deductible. this means my deductible MUST be...
what is...non-integrated?
I need to be filtered on the OM checkout dashboard
What are Stop Loss plan, Total spend vs budget, and Stop loss report widgets?
AS Build status a peer reviewed account goes into when it's missing a document or a question is pending.
What is Partial, Followup?
Generally, you must pay all the costs from providers up to the deductible amount before this plan begins to pay. If you have other family members on the plan, each family member must meet their own individual deductible until the total amount of deductible expenses paid by all family members meets the overall family deductible.
No single individual within the family will be subject to more than the individual Deductible amount.
what is....embedded deductible?
I may or may not exist, dependent on the employer's funding arrangement.
what are...admin fees and stop loss?
My box is not highlighted by a teal border. If no info is provided it is ok to...
what is...leave me blank?
This is probably needed if new med/enrollment unresolvables appear in the new plan year
what is....a group structure/matrix?
This field in Jira must be filled out upon successfully completing an OM Checkout
what is renewal data verification?