Team 1: Salonda's Belles

2. being covered by both Medicaid and Medicare.
4. a medical code set that is used to report medical, surgical, and diagnostic procedures and services.
6. cloud-based human resources program that includes time and attendance tracking, absence management, expense management, job costing and employee scheduling.
8. a person requesting information on behalf of a member.
9. a federal and state program that helps with healthcare costs for some people with limited income and resources.
11. telephone interpreter service
14. the person who pays for health insurance premiums or whose employment is the basis for membership in the insurance plan.

1. an approval process for requested medical services, by patient or provider, to determine if the services are medically necessary
3. a substance used to stimulate the production of antibodies and provide immunity against one or several diseases, prepared from the causative agent of a disease, its products, or a synthetic substitute, treated to act as an antigen without inducing the disease.
4. the practice of ensuring that insurance claims are not paid multiple times, when an enrollee is covered by two health plans at the same time.
5. a metric that measures a contact center's ability for its agents to resolve a customer's inquiry or problem on the first call (abbr).
7. this government program provides low cost health coverage for children in families that are not eligible for Medicaid.
10. equipment and supplies ordered by a health care provider for everyday or extended use. Coverage may include: oxygen equipment, wheelchairs, crutches or blood testing strips for diabetics.
12. used to track the time that call center agents are not taking calls.
13. a bill a provider sends anthem to request payment after providing services to a Medicaid patient.