True or False: MA Organizations may use a "rollover" approach in applying the grace period.
TRUE
100
True or False: LEP status is determined by CMS
FALSE/LIS
100
The print vendor will mail the member's invoice by the __ of the month.
15th
100
(True or False) The bank processes the ACH payment for members with an ACH payment option on a daily basis.
False (daily -- monthly)
200
Explains that the payment is overdue and the member will be disenrolled if payment is not made within two (2) months
Notice of Disenrollment
200
What column in the LEP Variance Recon report shows if the member has a discrepancies between what was billed in iKasystems against the Monthly CMS files (LEP Monthly File and/or MMR File?
MEM_VAR
200
Invoices are not mailed to members who are on a ________ unless they are subject to LEP.
0$ premium plan
200
(True or False) Visiant Finance Ops will provide the reason for negative payment in the Negative Payment File.
False (Visiant Finance Ops -- The bank)
300
In what module can we check the PWO?
Members
300
MPWR stands for?
Monthly Premium Withhold Report
300
An invoice status for posted invoices that have partial payments applied.
Partially Paid
300
(True or False) The manual letter template to be sent is H3170_L_LckbxRtnPyFrm Letter.
True
400
True or False: The grace period begins on the 6th day of the month for which the premium is unpaid.
FALSE/1ST
400
True or False: If the variance in LEP Variance Recon Report is Zero, check if the member is in the LEP Discrepancy in the iKaGateway Discrepancy Qs
FALSE/ESCALATE
400
__________ could result in delinquency processing.
Overdue invoice payments
400
What DLP(s) should be followed if the source of payment of the member is ACH?
Payment Preference Update DLP and Payment Reversal DLP
500
Aside from the Delinquency Report, what other Report should we used in this DLP?
Unapplied Cash Aging Report
500
True or False: If the Member is in the LEP Discrepancy in the iKaGateway Discrepancy Qs, log the member in the LEP Discrepancy in the Escalation Log
FALSE/NO ACTION REQUIRED
500
ikaBilling uses this amount to calculate the CMS share of the part D premium for LIS eligible Medicare subscribers.
Bench Mark
500
(True or False)The bank sends a notification of NSF by sending a Negative Payment File before the bank receives an NSF notification or inactive account notification from the member's bank.