Ensures that individuals who have health insurance do not experience a gap in coverage just because they lose or leave thier jobs.
What is Portability.
100
Affordable Care Act
What is ACA.
100
Required by law to provide to cover the treatment of specific health conditions.
What is Mandated Benefits.
100
Serves a direct point of contact for members, providers and brokers.
What is Customer Service.
100
What is the avitar's name that helps you in the Carefirst website?
Who is Chloe.
200
The process to remove all information that can reveal the identity of the member.
What is De-Identification.
200
Explanation Of Benefits
What is EOB.
200
Which benefit covers the care program for people who are dying and thier family members.
What is Hospice Services.
200
An independent company who performs administrative functions like an insurance company; but does not assume the issurance risk for the cost of care.
What is Third Party Administrator.
200
What is also known as MediGap Plans.
What is Medicare Supplemental Plans.
300
What indicates that the Privacy Offive has determined that the member's address must be kept private for the members safety.
What is Confidential Communication
300
HIPPA
What is Health Insurance Portability and Accountability Act
300
The Provision that requires health insures to provide the diagnosis and procedure codes and thier definitions in writing upon a members request was passed when?
What is 2011.
300
The Consumer Direct SBU will provide solid world class service in all dimentions to all customers.
What is Consumer Direct SBU vision.
300
What does Novermber 15- Febuary 15 indicate?
What is Open Enrollment.
400
True or False
Any member can request a COC but there's a $20.00 processing fee
False.
400
SID
What is Subscriber Identification
400
What event happened in March 23, 2010
What is The Affordable Care Act (ACA).
400
Who is the vendor that supports consumer direct customer service with the various member, provider, and broker, inquires.
What is Teleperformance
400
Applicants premiums will be partially based on the geographic area in which they reside and will apply to the entire contract.
What is Geo Factor.
500
To Ensure health insurance portability for individuls who lose coverage.
What are Primary Goals
500
COBRA
What is Consolidated Omnibus Budget Reconciliation Act
500
True or False.
There is a penalty if the health insurer provides mandated benefits, and does offer benefits that are required by law to offer.
False
500
What acknowledges our responsibility to provide services and information that promote members rights.
What is Members' Rights and Responsibilities policy statement
500
How many times (without looking at your notes) was Medical Underwriting mentioned as a note.