That Darn Deductible
If Superman has a Co-insurance of 80/20 what is the percentage he will be responsible for.
20%
A set amount of money you pay at first for covered health care services, before your health plan begins paying
Deductible
This is where I need to go to see if there is a HIPAA Authorization on file, no you don't shop there
CIRS
What is the policy code that requires a One Day Grievance
200C
The Flash has a $1000 Deductible with a co insurance of 80/20 and max out of pocket $2000. if the flash meets his deductible how long will he be paying his Co-insurance For
Until he meets his Out of pocket max or until the end of the policy year.
When a member looses their employment status they are able to enroll in this type of plan. no its not a snake
COBRA
This is where I want to go to emulate a members web portal so I could see what they would see.
Smarthelp
How will Solution Central Notify me if a member's policy does require a One Day Grievance
1. Notification
2. Policy Tab 200C
these are the types of services that will never apply towards a members deductible or out of pocket max
Preventative
This is when one family member would Never satisfy more than their own individual deductible amount to obtain Coinsurance
Embedded
This is where I go to see the service location phone number of a policy I may not handle.
BDS
This is the Governing Body that oversees specific California Policies
CA DMHC
This is the term used to describe the specific dollar amount that anthem has negotiated with a provider
Allowed Amount
A percentage a member will be responsible for after their deductible has been met is known as
Coinsurance
Oh! this is a kernel member, I need to pull their benefits from this tool
OBIS
The Purpose of Filing a One Day Grievance is to capture a members what
Dissatisfaction
If a member has a Calendar Year Policy when will the deductible reset back to $0
Jan 1
providers supply support goods and services that assist the physician in his/her ultimate goal of providing quality medical care to the patient
Ancillary Providers
This is where I can go to see if a member is on the Do Not Call List, Say that 10x fast
CPSUI
The One Day Grievance Task is Going to be listed under what Kind of Task
Required