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WorksheetsBLUE YOU
Total questions: 17
Worksheet time: 9mins
Where do you log into Estart?
TheZone
One Note
MicroSoft Outlook
Concentrix
Where is the Prime Therapeutics Icon located
In the cafeteria
Blue Desktop
Remote Desktop Connection Access
Chrome
What is one thing that must be done that is not part of the reason for the member call in, that you must suggest
Education targets
You're in good hands with all state
Facets program was conceived on Oct 2016
Group members have no billing record because their bill is from their paycheck
What is the Allowed Amount?
It is the amount the provider bills the member.
It is the amount that that the insurer agreed to pay for the service rendered.
It is the what the member and the insurer pay after deductible is met.
It is the max life amount of coverage the insurer will pay based on your plan.
A copay is an indication that the member will have :
Out of pocket expenses
Coinsurance
Balanced bill
State Health Plan
HSA ( Health Savings Account) is paired with :
Blue Option 1-2-3
HDHP (High Deductible)
Blue Options
Blue Value
LOB plans , the members have 30 days to call in changes for eligible subscribers and newborns to their plans?
True
False
The ID numbers for Service 1st have how many digits:
10
7
9
12
Applets that are used in Service 1st allow you to Link all info discussed with the member, in the history of the call:
True
False
State Health Plans receive :
White glove treatment through a dedicated line
Will get the opportunity to be serviced by new hires in the Jacksonville, NC location.
Are part of the IBO.
Are part of the ASO group.
ASO Group are regulated by the NCDOI, and offer only standard plans to their employees
True
False
Aggregate Family Deductible is when all family members contribute to the same family aggregate deductible:
True
False
HSA accounts are paid into by the emloyer
True
False
HRA (Health Reimbursement Account) can not be rolled over:
False
TRue
What two programs are used to document, read benefits, and give copay/coinsurance/out of pocket
Ally & Genesys
Service 1st & Facets
One Note & Skype
Consumer Driven Health Plans are for employers that are not yet ready to move employees into a fund-based CDHP
True
False
When entering the double doors returning from work:
Kick the bar
push the bar lightly
Keep your hands off these people bars
