JK Rawlings

What is Rawlings?

• yes
• Investigation and Recovery Services Company
• Insurance Fraud Prevention company
• Author of Harry Potter

Which 4 investigation and recovery services does Rawlings provide to BCBSNC?

• Subrogation, Workers’ Compensation, Coordination of Benefits for Medical claims and Retro-termination for Pharmacy claims
• Worker's Termination, Coordination of pharmacys, Retro-subrogation, Medical Compensation
• Party catering, DJ hosting, Bouncy Houses, Rap battles
• yes

What is the purpose of the subrogation program?

• provide alligators to submarine captains
• recover claims paid for a non-work related accident where another party is liable
• sandwiches
• Man-bun removal

What is the purpose of the Worker's Compensation program?

• recover claims paid to treat a work related accident
• Provide compensation for loss of bowels
• Compensate workers for not having man buns
• Provide reading comprehension checks for workers

What is the purpose of the Coordination of Benefits program?

• To be or not to be, that is the question.
• recover claims paid when either Medicare or another health insurance company should have paid as primary
• Recover claims that have been lost by lazy CSPs
• Coordinate the benefits

What is the purpose of the Pharmacy Retro-Termination Program

• not this one
• recover pharmacy claim payments made after a member or group has terminated pharmacy benefit coverage with us
• the laying off of Pharmaceutical salesmen that dress retro
• yes

Why do we need to know this?

• we dont
• because Liz said so
• So we can forward calls to the appropriate line if we cant answer the member's question
• we really dont

What was the 3rd point for our group (group 2)?

• Job aid
• (⌐□_□)
• ( ͡° ͜ʖ ͡°)
• /\
  /     \
  /           \
  / (o)>(o)\
  <{_____ooo_____}>

Who is best trainer? (⌐□_□)

• Liz
• (⌐□_□)
• (⌐□_□)
• man bun  ( ͡° ͜ʖ ͡°)