what is EVICORE?
A MEDICAL MANAGEMENT COMPANY THAT HANDLES PRIOR AUTHORIZATION REQUESTS
How many different pieces of information must you confirm with a member to verify HIPPA?
3!
MAKING SMALL TALK, ASKING HOW THE WEATHER IS, HOW IS YOUR DAY GOING IS AN EXAMPLE OF BUILDING ________
RAPPORT
PCP stands for ...
Primary Care Physician
the specified amount of money that an insured person (member) must pay before an insurance company will pay a claim
Deductible
what are the 5W'S of call center documentation
WHAT WHY WHERE WHO WHEN
what should you approve everyday
Time Card
IN HEALTH INSURANCE WORLD, A COMPLAINT IS ALSO KNOWN AS A ______
Grievance
which of these is not a HIPPA Identifier? Mailing address..DOB...SSN# ..Gym membership ID
gym membership ID
Comprehensive health care reform law that made insurance more available
Affordable Care Act
can pcp make changes on a members account
no
anyone who can be added to a policy holder’s insurance plan based upon certain criteria.
dependent
A provider who specializes in heart disease is called _______
Cardiologist
The first date of coverage is called the ________ date
Effective
If you miss a punch on PAYCHEX what do you do
send an email thru paychex to your supervisor
A fixed amount someone pays for a service, paid each time they have the service done
a COPAY
helps cover costs of medical bills.
Health Insurance