Show:
ABS
Privacy
Omni Intents
Claims
Misc Systems
100
ABS will not have any information on members who are new since this date.
What is 1/1/2018?
100
When not provided the ID #, these other items must be used in order for HIPAA to be fully verified.
What are the name, DOB, address with zip code, and phone number?
100
When a member needs a translator on the phone for a doctor's visit, you will use this intent.
What is Language Services?
100
This is the patient's responsibility when there is a set dollar amount for the services rendered. (i.e. Doctor's Visit)
What is a copay?
100
This system is used to determine who is financially responsible for a service.
What is PSAS /DOFR?
200

This screen and subscreen is used to view claims history information.

What is CSPINQ, subscreen H?
200
Verbal authorization to speak to someone on the member's behalf is good for how long?
What is the duration of the call?
200
When it has been this long since the member's last call, you will use the "New Member Process".
What is 6 months?
200
This is the status when a medical claim has processed and the claim has finalized but the claim did not pay. 
What is denied?
200
This system is used for claims info, authorization info, and provider and feeds it's information into Omni.
What is Amisys?
300
This screen is used for member information in ABS.
What is MMINQ?
300
When leaving a voicemail message, you must never leave any of this on the message.
What is PHI?
300
When doing a demographic update of this type, you do not have to check MARx.
What is phone number?
300
This is the status of a medical claim that has been submitted but has not finished processing.
What is pending?
300
This system is used for viewing documents sent to the member from 1/1/18 and on.
What is OCOE 2.0?
400
We would use MILECALC to check mileage between addresses in this/these state(s).
What are all states?
400
This is what HIPAA stands for.

What is the Health Insurance Portability and Accountability Act?

400
When the wrong intent is selected, you will do this to close out the intent.
What is click "Other Actions" and "Cancel This Work"?
400
These are the type of medical claims submitted for hospital services?
What are facility claims? (UB-04)
400
In FileNet, this is what you click to open a new search.
What is the magnifying glass?
500
In ABS, this is the name of the screen we would use to perform a PPG Provider Search
What is PRVSRC?
500
This is the maximum fine and jail time for a Level 4 HIPAA violation (if the intent is to use the PHI for commercial advantage).
What is $250,000 and 10 years in jail?
500
In the Billing Inquiry and Payment intent, you will do this to quote the total amount due.
What is look it up in Softheon?
500
These are the types of medical claims submitted for doctor's services such as doctor's visits?
What are professional claims? (HCFA-1500)
500
In MARx, you will use this number to pull the member up under the Beneficiaries Tab.
What is the HICN?