WL Quiz 2

PG&E PPO Health Account Plan Alpha Prefix is?

• PGZ

• PZG

• PZH

• GGS

CU Exclusive is a special HMO plan in?

• California

• Colorado

• Nevada

• CACONV

Verifying West Local Indicators, transfer to provider should be Y or blank.

• True

• False

If Policy is Inactive - Check whether the policy has another Insurance on file or not. If there is, advise the provider to call the other insurance- give the phone number and offer to transfer

• True

• False

For CA HMO Plans, regardless if member has another insurance, auth will be required from PMG except for the below services:

• Emergency Services

• Routine/

  Preventive Visits

• Mental Health Services

• All of the above