What are out of network coverage, no pcp required, no referrals necessary, nationwide network?
200
Sub calling for Adult dependent on total member responsibility for claim. Can we disclose?
What is YES?
200
C
What is Connect with the Member?
200
She is 27...or is she?
Who is Suvanaha?
200
How you know the policy is still active.
What is there is no termination date?
200
These characteristics describe this type of plan:
You need a PCP.
Can be gatekeeper or Open Access.
Referral needed to see specialist.
Regional network.
No out of network coverage.
What is an HMO policy?
300
What HIPAA stands for.
What is Health Insurance Portability and Accountability Act?
300
A
What is Always Sound Confident?
300
She's a trained phlebotomist.
Who is Latrece?
300
Two ways to view benefits.
What is click on the Contract Code or the Benefits button?
300
These characteristics describe this type of plan:
PCP is needed.
Referrals may be needed.
Nationwide network.
Tiered benefits.
Has out of network coverage.
What is a POS plan?
400
Subscriber calling about 17 year old daughter who has pregnancy diagnosis. Can you disclose?
What is NO?
400
R
What is Resolve our member's inquiry by owning the issue?
400
She's travelled to Europe.
Who is Chelsea?
400
The two things you do when you first get to Benefits.
What is click View Both and Show All Benefit Admin
400
Characteristics of an Indemnity Plan.
What is a set percentage for any provider that is seen?
500
The necessary components to verify someone calling in behalf of a member.
What is Caller's Name, Ask if member is available, Member's name, DOB, and ID number?
500
I
What is I will set Clear Expectations?
500
She is retired.
Who is Linda?
500
How Balance billing works.
What is the provider may bill the member the difference between the total charges and the allowed amount for the service?
500
Characteristics of an EPO plan.
What is uses PPO nationwide network, No out of network coverage, No referral or PCP needed?