Trivia Round up 4
Across
- 6. Department that verifies provider qualifications.
- 12. Department that supports employee growth and training.
- 14. Note-taking system used by Client Services.
- 16. Department that processes and pays claims.
- 17. Department responsible for prescription drug benefits.
Down
- 1. Department responsible for invoicing and premium payments.
- 2. Department responsible for broker onboarding and relationships.
- 3. System that processes and pays claims.
- 4. Website where members and providers find resources.
- 5. Department responsible for utilization management and care coordination.
- 7. System used for provider-administered drug authorizations.
- 8. Department that contracts and maintains provider networks.
- 9. System of record for member eligibility and policy information.
- 10. Contact center platform used for calls, voicemails, and emails.
- 11. Vendor used to verify claim payments and check status.
- 13. System used to view medical prior authorizations.
- 14. System used to search PHCS network providers.
- 15. System used to review payment history and account balances.
- 17. Companywide knowledge base used by all departments