Which term means the amount paid by the member for health related services before the insurance pays any expenses?

Which insurance plan STRICTLY requires the member to get a referral from a Primary Care Physician to see a specialist

What is it called when a client pays Anthem to handle only administrative work of processing health benefit claims

When a provider has agreed to accept insured members as patients and agrees to accept a specified amount as payment in FULL, the provider is considered as _____ provider

Which of the following Health and Wellness programs is designed to improve health outcomes and control expenses associated with specific conditions such as Asthma, COPD, CAD and Heart Failure

Tool used to view, create, and send faxes

Tool used to check providers that are available within Anthem network group within 20-50 mile radius

Tool/System quipped to check ICD, CPT/HCPCS codes along with other key operational information

Which is an example of an "Elective" claim

Which is NOT a function of Rightfax

Is a web based application that is used to search and view images. This tool houses all forms of documents that are imaged such as:

 Scanned documents

 Faxes

 Electronic claims

 Imported documents

 Web enrollment

If I wanted to refer the member/subscriber to case management specialist, which of the following tabs do I need to go to?

In FindCare/Provider Finder, what is the initial requirement that you need to supply in order to proceed with searching possible MD's/Facilities

(NON-URGENT: PRIOR AUTHORIZATION- Colorado) If we are handling a review that the request is incomplete, we must notify the covered person and the covered person’s practitioner or HCP within (5) business days and specifically describe the additional information required to process the request. Upon receipt of the of the additional information requested, we need to make a determination and notify the provider within ___ business days