Trivia Round up 5

12345678910111213141516171819
Across
  1. 3. A request to change an adverse decision
  2. 7. What account executive handles IFP brokers?
  3. 8. Who pays primary between Alliant and Medicaid.
  4. 10. Any oral or written expression of dissatisfaction from a member.
  5. 13. Providers have 180 days from the ______ date to appeal the claim.
  6. 14. The ______ is responsible for a claim to be submitted when they see a out of network provider.
  7. 15. This is a document received by providers that has remark codes.
  8. 17. Only _________ providers have access to the provider portal.
  9. 18. UB stands for ______.
Down
  1. 1. What kind of networks do Vitruvian plans have?
  2. 2. What kind of enrollments have 31 day grace period
  3. 4. An employer-sponsored health benefit where employers set the funding.
  4. 5. A medical claim is a request for ______ from a provider.
  5. 6. What account executive handles group brokers?
  6. 9. In what system can you reset member portal registration?
  7. 11. 3 Month GP is only for policies with ______.
  8. 12. Under which tab can you see how a provider is set up to receive claim payment.
  9. 15. Under which tab in a claim can you find an appeal?
  10. 16. Can a member under the age of 18 create a member portal?
  11. 19. This is sent to the members to let them know how a claim has processed.