HEALTH PLANS
Health Plan with over 10 different contract #'s but all contracts have no fee
What is Kaiser?
Hawaii Medical Service Association is better known as...
HMSA
An approved backdate request is forwarded to _____.
Where is the program changes bucket?
FSI requests are sent to ___ with ____ copied on the email.
Who are your advocate and supervisor?
True or false: A log containing a complaint that needs to go to be forwarded to the SF bucket should contain a third log item.
What is false?
Health Plan formerly offer one contract with a $50 annual fee but now offers an additional no fee contract
What is BCBS NC?
GHI is better known as...
What is Emblem Health?
If a member who has an annual member fee is changing TO a location that does not accept fees, and their enrollment is not on file yet, you will need to send a request to ______.
Where is the program changes bucket?
The subject of an FSI email should include _____ and _______ .
What is the system having the issue and the log number?
When creating a temp record for a UTV submission, you must include...
What are name, DOB, Address, HP ID and Health plan name?
Health Plan participates in EVERY program EXCEPT AF
What is Cigna?
Entertainment Benefit Group is also known as...
What is Tickets at Work?
Fitness center is reported closed and you are unable to reach them. It must be sent to _____.
Where is the PR Fit bucket?
When troubleshooting an API issue, a member should be searched for by....
What is by name and DOB?
Postage is due for SF Reward pins; the member paid it and wants reimbursement. You should ____.
What is have member email their POP and then email FSI advising extra postage was due?
Health plan with access to a SF Premium Network
What is Kaiser WA?
Cambia is better known as
What is Regence?
FCE corrections must be sent to ____.
Where is the Fit Assist Bucket?
Who is Holly Horrocks?
The 4 non-documented call types
What are misdirected, hang ups, dead line and employee calls?
ERP members we can only give limited information without a health plan agent on the line
What are Anthem and Empire?
Centene is also known as what major group of health plans
What is Allwell?
Fitness Claims Bucket TAT
How long is 30 days?
Known issues last update was provided on..
When was 07/03/19?
In regards to the incident referral process, the fitness center agrees a billing mistake has been made; we will not request a refund of ____ or less.
How much is $150?