MEDICARE BASICS
MEDICARE & HRP
TOOLS AND RESOURCES
SOLID GOLD
SAY WHAT?
100

CMS IS AN ACRONYM FOR THIS

CENTERS FOR MEDICARE AND MEDICAID SERVICES

100

A MEDICARE ADVANTAGE HEALTH MAINTENANCE ORGANIZATION PLAN IS ALSO KNOWN AS THIS

HMO

100

 This houses many different useful resources for Claim Benefit Specialists. It provides is step by step walkthroughs for things not available in e.Policies.

CRT

100

THIS T.V. SHOW HOLDS THE RECORD FOR THE MOST WATCHED SERIES FINALE OF ALL TIME

M*A*S*H

100

SONG WRITTEN  BY MICHAEL JACKSON AND PAUL MCCARTNEY RELEASED IN 1983

SAY SAY SAY

200

UPON ENROLLMENT TO MEDICARE BENEFICIARIES ARE ISSUED A RED, WHITE AND BLUE CARD DISPLAYING THIS NUMBER

MBI-MEDICARE BENEFICIARY IDENTIFIER NUMBER

200

SEARCHIN HRP USING THE CLAIM ID AS THE SEARCH CRITERIA, THE RECIEVED DATE IS LOCATED ON THIS TAB

HEADER

200

The S-ID belongs to the business entity and is specific to the HRP application is known as what?

Supplier ID

200

THIS SITCOM IS CURRENTLY THE LONGEST RUNNING T.V. SHOW

THE SIMPSONS

200

CHARACTER NAME FROM A POPULAR NBC SERIES WHO BECAME "THE ASSISTANT TO THE REGION MANAGER" 

DWIGHT SHRUTE

300

TO BE ELIGIBLE FOR MEDICARE YOU MUST MEET ONE OF THESE 3 CRITERIA 

65 OR OLDER

UNDER 65 W/CERTAIN DISABILITIES

ANY AGE WITH ESRD (END STAGE RENAL DISEASE

300

BEFORE OPENING A CLAIM FOR EDIT, PER HRP PROCESSING CHECK LIST,  AT LEAST THESE 2 STEPS MUCH BE PERFORMED PRIOR TO OPENING CLAIM FOR EDIT.

REVIEW AUDIT LOG & DOCUMENT CLAIM NUMBER

300

RESOURCE TOOL TO VERIFY BENEFIT INFORMATION FOR GROUP MEMBERS

PLAN SPONSOR TOOL

300

THE ONLY EDIBLE FOOD THAT NEVER GOES BAD

HONEY

300

YOUR TRAINER CHILDHOOD CAREER ASPIRATIONS

SOLID GOLD DANCER

BACK UP SINGER -LUTHER VANDROSS

400

YEARLY ANYONE ELIGIBLE FOR MEDICARE WILL RECEIVE THIS HANDBOOK 

MEDICARE AND YOU HANDBOOK

400

THIS FUNCTION IS USED WHILE CLAIM IS OPEN FOR EDIT TO MAKE FINANCIAL ADJUSTMENTS, OVERRIDE OR ADD MESSAGE CODES TO THE CLAIM

MOT/MANUAL OVERRIDE TOOL

400

AETNA OFFERS THESE ITEMS AND SERVICES THAT ARE NOT PLAN BENEFITS. BUT EACH AETNA MEMBER IS ENTITLED TO THEM.

VALUE ADDED ITEMS AND SERVICES

400

THIS T.V. SHOWED THE FIRST INTERRACIAL KISS ON AMERICAN NETWORK TELEVISION

STAR TREK

400

THE FUTURE FATHER OF YOUR TRAINERS CHILDREN

AQUA MAN/JASON MAMOA

500

PART C COVERAGE IS ALSO REFERRED TO AS THIS TYPE OF PLAN

MEDICARE ADVANTAGE PLAN

500

This product can handle member services, enrollment, payments, claim processing, and now supports Medicare plans.

NEXTGEN (HRP-HEALTHRULES PAYOR)

500

UPON ENROLLMENT INTO MEDICARE, THIS ADMINISTRATION IS RESPONSIBLE FOR ISSUING THE RED WHITE AND BLUE CARD BENEFICIARY CARD

SOCIAL SECURITY ADMINISTRATION

500

IN PUBLIC PLACES IN FLORIDA IT IS ILLEGAL TO DO THIS WHILE WEARING A SWIMSUIT 

SING

500

IN 1969 BILL BIXBY FOUND FAME ON THIS SHOW WHERE HE PLAYS A WIDOWED FATHER RAISING HIS SON

THE COURTSHIP OF EDDIES FATHER