Abbreviate This
HIPAA stands for.
What is Health Insurance Portability and Accountability Act.
You should do this if issue taking more than 3 days to resolve that does not involve claims
What is Escalate to lead or manager?
for 90 days after your plan terminates you can file any claim you incurred before termination.
What is a run out period.
Person who buys an insurance plan.
What is policyholder?
PPO
What is preferred provider organization?
EHB
What is essential Health Benefits?
You should do this if an employee calls and asks you to update a carrier portal.
What is contact HR for permission?
$2700
What is the maximum you can contribute to an FSA?
organization that administers healthcare benefits on behalf employer.
Who is the third party administrator?
DME
What is Durable medical equipment
ERISA
Employee Retirement Income Security Act
attach all docs, i.e spread sheets, emails, forms.
What is documenting a case?
you can file and incur expenses within 90 days of termination
What is the grace period?
Medical procedures that are not included in plan's benefits.
What are noncovered services or exclusions?
UCR
What is usual, customary, and reasonable?
CMS
Centers for medicare and medicaid services
Check the carrier portal, folders, SBC's, summaries, salesforce, call the carrier.
What is researching the issue?
$3500 or $7000
What is the 2019 HSA contribution limits?
Illness or disorder that existed before the insurance coverage became effective.
What is preexisting condition?
MOOP
What is Maximum out of pocket
SSNRA
What is social security natural retirement age?
Name, ID#, dos, amount of claim, Dr. name.
What is needed to research a claim?
LPFSA
What is a Limited purpose FSA?
A request for permission to operate or administer medication
What is a Prior authorization?
SBC
What is summary of benefits and coverage?