Examples of...
Deductible, copay, coinsurance.
What is cost-sharing?
The quote, "Anywhoozle".
Who is Gabby?
The benefit for an ultrasound.
What is radiology?
Neurosurgeon who was thought to have died after falling down an elevator shaft, brother to Stryker.
Who is Drake Ramoray? (Friends)
The system you would use to determine if a provider was contracted within MA, ME, NH, RI, CT, or VT.
What is full provider search?
Family practice, internal medicine, pediatrics.
What are primary care provider types?
The quote, "We were on a break!"
Who is Ross Geller? (Friends)
The benefit for a sick visit with their PCP.
What is consult?
The hospital that is the setting for the TV show ER.
What is Cook County General Hospital?
Matt's favorite document, it is used to determine if an individual or entity is authorized to access the information being requested.
What is the verification grid?
Behavioral Health, Genetic Testing, Reproductive Health.
What are protected categories?
The quote, "I'm your huckleberry."
Who is Doc Holliday? (Tombstone)
The benefit for annual visit with OBGYN.
What is routine exam?
Radio host/psychiatrist/psychotherapist who used to frequent an establishment where everyone knew your name.
Who is Frasier Crane? (Cheers/Frasier)
The only thing we may send directly to a member's email.
What is an online provider directory list?
Member name, member DOB, member ID.
What are HIPPA verification requirements?
The quote, "Stay awhile and listen..."
Who is Deckard Cain? (Diablo)
The benefit for a PET scan.
What is advanced radiology?
Played by actor Kevin McKidd, this doctor was a surgeon in the US Army before joining the staff at Seattle Grace Hospital.
Who is Owen Hunt? (Grey's Anatomy)
Should be checked 3 times a day, contains late breaking news and updates.
What is Customer Service-Member Services Compass?
Power of attorney, health care proxy, executorship.
What are Personal Representative legal instruments?
The quote, "I have crossed oceans of time to find you."
Who is Dracula? (Bram Stoker's Dracula)
The benefit for bariatric surgery if member is not being admitted.
What is Surgery – Outpatient?
This show follows a team of doctors and support staff stationed at the "4077th Mobile Army Surgical Hospital".
What is M*A*S*H?
Mandate based on where the member lives, not just where the Employer is located.
What is an extraterritorial mandate?