Insurance Terminology
The amount a member pays for covered services before Alliant begins to pay
What is Deductible?
This system is used for notating calls
What is CallNotes?
This is the department you work in
What is Client Services?
This is the year Client Services was brought in house
When is 2015?
This is the baseball team Brittany Hawkins supports
What are the Los Angeles Dodgers?
A set fee the member will pay for a doctor visit or prescription
What is Copay?
This resource is the companywide knowledge base
What is Panviva?
This department includes Configuration, Process, and Payment Integrity
What is Claims?
This is the address of our office
What is 201 W Waugh St?
Julie Davenport loves this animal
What are elephants?
A statement Alliant mails to member that explains how their medical benefits were applied to their medical claim
What is an Explanation of Benefits (EOB)?
This resource is used to verify PA requirements on CPT codes
What is Prior Authorization Search Tool?
This department works closely with Prime Theraputics
What is Pharmacy Services?
This is the year Dental was completely removed from all Alliant plans
When is 2024?
This Client Services Leader loves reggae music
Who is Kayla Cochran?
When a provider bills the member for the difference between the billed charges and the allowed amount
What is Balance Billing?
This system is where we go to ask and answer each other's questions
What is Microsoft Teams?
This department works behind the scenes to ensure Alliant's network meets the highest standards in access, adequacy, and member support
What is Provider Relations?
This is the name of the Individual/Family Plans that Alliant offers
What is SoloCare?
Never offer these to Erin Malone
What are pickles?
Any amount that the member pays toward their in-network deductible between October 1 and December 31
What is 4th Quarter Carryover?
This system that goes by many names is the source of truth for member's demographic information and eligibility
What is Dave (D4K, Admin Tool/Portal, etc.)?
This department includes Case Management, Pharmacy Services, and Utilization Management to ensure members receive appropriate health care services
What is Medical Management?
This is our CEO
Who is Mark Mixer?
This Team Lead has a dog named Toast