Week 1
How often should a RAS work suspense?
Daily
How many days does Cigna issue credit back for retroactive terminations?
60 days
Who is responsible for closing zero billed invoices in Webtool?
RAS
This team is responsible for entering rates into CARBS?
Rate Analyst (AKA Billing Install or BIA)
What PVB worksheet is used to outline the number of days the account has been delinquent each month?
Payment History Template
When will Adhoc Reports become available on CFE?
3-5 business days after the invoice prints
Who's approval is needed for an account to follow a non-standard process?
PBAB (Product Benefit Advisory Board)
What does the RAS complete when a RAS allocates a payment in Webtool NPAB (Not Paid As Billed) and they are not the assigned RA?
RFF (RAS Feedback Form) in OATS
What department assists with payment related issues/research. Also known to be a liaison between the Recon Analyst (RA) and the RAS?
RM Inventory.
Tammy Watkins & Nadia Tracy make up the RM Inventory team.
What system is used to view/download a Pre-Invoice?
Vista
What is the name of the system that payments are allocated in?
Webtool
Web Reconciliation
Web Recon
What system can you find your suspense report?
OATS
OATES
What is the preferred method for refunds on active and terminated accounts?
ACH
What department is responsible for producing the ePro?
Implementation
Implementation Manager
IM
These are charges that may appear on the CARBS invoice for services other than medical/dental or vision charges?
Optional Services
OSS
Paid vs Billed
What should the RAS do if a Self-Billed account discrepancy is above the approved threshold percentage?
Self-Billed audit
When should a Dummy Line be used?
When there is an unexplained discrepancy (credit or charge). The amount is not tied to a particular subscriber and does not match the calculation of any billed amounts.
What department is responsible for entering updates into CED?
Eligibility Account Specialist
EAS
EA
This code identifies how a payment was sent to Cigna?
TRO Code
How many Funding Types are there and name them?
3 Funding Types
Fully Insured (FI)
Administrative Services Only (ASO)
Minimum Premium (MP)
Name a difference between Self Billed (SB) and CDR?
Payment backup - SB census level. CDR subscriber level
Payment Allocation - SB allocated at the account/branch/benopt level. CDR allocated at the subscriber level
Discrepancy Resolution - SB admin adjustment (if within threshold). CDR Bill Balance Letter to the client
What is the process when a payment in suspense is for Underwriting?
Prepare a Problem Form.
Who is responsible for responding to inquires regarding the CARBS invoice?
RAS
Revenue Account Specialist
This system is used to view images of check payments received?
Iview