GMT

6. a particular network type (such as HMO, PPO) within a service area
7. a geographic area that an eligible individual may enroll in a particular plan offered by BCN
8. person whose employment makes him or her eligible for group health insurance benefits
9. Federal health insurance program for people who are 65 years of age or older
10. is an organization that provides employment in which healthcare benefits are administered
12. Changes made to the group usually in reference to benefits member
13. An alphanumeric 4-digit Cross key and 4-digit Shield key
16. RATE OF COVERAGE
17. A bill for medical services rendered, typically submitted to the insurance company by a healthcare provider.
19. is the Facet number with two zeros added.
20. is a segment of employees

1. is coverage offered by certain employer groups, which allows a dependent that is over the age of 26 and who is legally taken care of by subscriber
2. is used to ensure the quality of work by providing a record of changes to contacts within Facets.
3. covered under a health insurance plan, an enrollee, or eligible dependent plan
4. The department that reviews group applications to determine if the group meets certain guidelines for BCN
5. geographic area that an eligible individual may enroll in a particular plan offered by BCN
11. 8-digit number assign to a Facet CID that translates the benefit to BCBS.
14. that left BCN but came back after 12 months
15. enables business mobility through the secure delivery of apps and data to any device on any network.
18. used to identify the relationship between group and Association, Chamber or TPA (Third Party Administrator) usually loaded at subgroup level.