Who The Heck?
Has been employed by Aetna for 33 years!
Who is Sandy?
Sandy has been on the JCA team 11 years July 1st. and the longest tenure at Aetna of anyone on the team (34 years on August 12th)
This is JCA's closest (proximity) Provider Group to where we are today
Who is Town of West Hartford?
Member ID Card
What is Aetna Health Your Way
Plan Sponsor that has been with JCA the longest
Who is MLB?
Extra credit: when do they renew?
Weighed only 3 pounds when this AL was born
Who is Hollie?
This is the state / region or country that THE TORONTO CITY SCHOOL DISTRICT is located
What is Ohio?
In this payment arraignment, the TPA issues provider payments.
What is JCA Flex?
ACO is the acronym for this type of product.
What is Accountable Care Organization?
This is "about" the number of active RFP's JCA is currently working
What is 11?
(potential membership of 126,425)
HATES!!! Peanut Butter!
Who is Melissa H?
837/835
What is the transmission protocol used to pass FTP files between Aetna and the TPA/BP?
This is the primary agreement document signed by the Plan Sponsor/TPA and Aetna
What is the Master Service Agreement (MSA)?
What does PADU stand for?
What is Preferred, Acceptable, Discouraged, Unacceptable?
12,948 represents 5% of ...
What is 5% member increase from 2024?
This AL never saw snow or flew on a plane before the age of 21
Who is Sarah?
The only fully funded (FI) Plan Sponsor
Trick Question - Why would you even think there is a Fully insured customer in JCA!
This is the smallest plan sponsor for the JCA book of business
Who is Burlington County Bridge Commission (170 average members)
What is Claim and Code Review (CCRP)?
What is Mike joined the team?
Owns 7 guitars, a violin, a mandolin, and 6 African drum's
Who is Mike?
Who is Gilbert? (3:05 PM)
This is Aetna's turn around time goal when pricing/editing claims
What is 8 calendar days of receipt from provider?
(TPA goal: adjudicate and return 80% of claims to Aetna w/in 14 calendar days)
This is the year that Taft-Hartley was passed
What is 1947?
This Plan Sponsor membership jumped from approximately 800 to over 2500 in January.
Who is Local 670?