PLANS
MEMBER SNAP.
GENERAL KNOW.
SYSTEMS
DO YOU KNOW
100
Requires PCP and Referrals
What are HMO, POS and DPOS/ HMO Products
100
Covered Individuals
How to verify active coverage
100
Electronic Submissions
What are claims
100
OCWA
What is system used for accumilations
100
Michelle Powers
Who is VP of CS
200
Urgent and Emergent Care
When HMO is allowed outside 5 county area
200
Member # is UMI (meaning)
What is Unique Member Identifier?
200
UB04
What is facility claim submissions
200
Capitations Located
What is OCWA
200
Dan Hilliferty
Who is President/CEO of IBC
300
INN/OON and No Ref
What is a PPO
300
Found in EXTENDED ELIGIBILITY
What is handicap dependent status
300
P3
What is Self Insured Group Appeals Indicator
300
Medical/Pharmacy Policy
What is IBX.com
300
Evette Bright
Who is the EVP of Transformation
400
Platinum , Gold, Silver, Bronze
What are HCR Metallic Tiers
400
"Party People"
What is OPIS
400
Act 81
What is The Newborn Care Act
400
Alpha Prefix List
What is Knowledge Center
400
Linda Westman
Who is C3 Training Manager
500
ONx
What is a market place plan
500
Name, Age, CCV#, FLAGS
What information contained in the member banner
500
Davis Vision, Future Scripts, United Concordia, Brivoia
Who are our subcontractors/vendors
500
NPPS
What is NPI Registry
500
Michael Baldwin
Who is VP of Training