A fixed amount someone pays for a service, paid each time they have the service done
a COPAY
Comprehensive health care reform law that made insurance more available
Affordable Care Act
the specified amount of money that an insured person (member) must pay before an insurance company will pay a claim
Deductible
How many different pieces of information must you confirm with a member to verify HIPPA?
3!
anyone who can be added to a policy holder’s insurance plan based upon certain criteria.
dependent
The first date of coverage is called the ________ date
Effective
helps cover costs of medical bills.
Health Insurance
what should you approve everyday
Time Card
PCP stands for ...
Primary Care Physician
which of these is not a HIPPA Identifier? Mailing address..DOB...SSN# ..Gym membership ID
gym membership ID
If you miss a punch on PAYCHEX what do you do
send an email thru paychex to your supervisor
what are the 5W'S of call center documentation
WHAT WHY WHERE WHO WHEN
A provider who specializes in heart disease is called _______
Cardiologist
what is EVICORE?
A MEDICAL MANAGEMENT COMPANY THAT HANDLES PRIOR AUTHORIZATION REQUESTS
MAKING SMALL TALK, ASKING HOW THE WEATHER IS, HOW IS YOUR DAY GOING IS AN EXAMPLE OF BUILDING ________
RAPPORT
IN HEALTH INSURANCE WORLD, A COMPLAINT IS ALSO KNOWN AS A ______
Grievance
