Specialists
This doctor uses natural non-invasive treatment approaches, including spinal adjustments, exercise programs, and other forms of therapeutics to help patients eliminate their pain and optimize their health.
What is a chiropractor?
A metabolic disorder in which the body has high sugar levels for prolonged periods of time.
What is diabetes?
HIPAA
What is Health Insurance Portability & Accountability Act?
A specific dollar amount that your health insurance company may require that you pay out-of-pocket each year before your health insurance plan begins to make payments for claims. Not every plan has this!
What is a deductible?
This department handles all customer inquiries and is the funnest place to work in the company.
What is Customer Care?
Both of these specialists treat the eyes, however, one specialist is trained in eye surgery and advanced eye disease, whereas, the other conducts vision exams.
What is an optometrist & an ophthalmologist?
A disease where cells in the body replicate abnormally. A third of the population will suffer from this at some point in their lives.
What is cancer?
WFM
What is Workforce Management?
A ------------------------” is a requirement from your health insurance company that your doctor obtain approval from your plan before it will cover the costs of a specific medicine, medical device or procedure
What is a Prior Authorization?
This department researches and resolves eligibility and financial discrepancies.
What is the Enrollment department?
This is the field of medicine that strives to improve the overall health and well-being of patients by focusing on preventing, diagnosing, and treating conditions associated with the foot and ankle.
What is podiatry?
A manic depressive illness or a mood disorder, characterized by extreme changes in mood, behavior, and thinking.
What is Bipolar disorder?
TPL
What is Third Party Liability?
------------ is a healthcare organization that ties payments to quality metrics and the cost of care. --------s in the United States are formed from a group of coordinated health-care practitioners.
What is an ACO?
This department would process an appeal for a medication denial filed by a provider.
What is Appeals & Grievances?
These types of doctors diagnose and treat cancer.
What is an oncologist?
This condition is the second leading cause of irreversible blindness worldwide.
What is glaucoma?
HNA
What is Health Needs Assessment?
Something that happens when a request for services has been denied by the insurance company. Typically a phone conversation between a physician at an insurance company and the patient's doctor.
What is a Peer to Peer Review?
This department would request and receive a PIP exhaust letter.
What is Coordination of Benefits or COB?
This specialty deals with conditions of the ear, nose, and throat (or ENT) and related structures of the head and neck. You must also spell the answer correctly!
What is otolaryngology?
The most common signs of this medical issue can be memorized by using the word F.A.S.T. (bonus points for anyone that can name the words the acronym stands for!)
What is a stroke?
F - Face
A -Arms
S -Speech
T - Time
EOHHS
What is the Executive Office of Health & Human Services?
A list of prescription medications selected for coverage under a health insurance plan. Drugs may be included based upon their safety and cost-effectiveness. Some health insurance plans may require that patients obtain preauthorization before other drugs are covered.
What is a drug formulary?
A member writes a negative comment about BMCHP on our Facebook. This departments scrolls social media to find these comments.
What is Sales & Marketing?