Across
- 2. this department must find resolutions to a members complaint
- 7. manages the layouts of our internal computer programs
- 8. This is an example of a plan document
- 10. how many departments make up Claims as a whole
- 11. This is a formal complaint
- 14. made up of Enrollment, Pharmacy, and customer Service (the answer is an abbreviation)
- 15. Technical support (abbreviation)
- 17. This department is in charge of maintaining our plan documents (two words)
- 19. This team would greet guest that come into our building (two words)
Down
- 1. Submitted to Health Insurance to receive payment for services
- 3. submitted by a provider to perform certain services
- 4. This department helps providers with getting contracted (two words)
- 5. facilitates community meetings
- 6. the Finance department would create and monitor this
- 9. The department that offers one on one assistance to members with more complex needs. (two words)
- 12. this can be filed to try and change a decision made by the health plan
- 13. Policy creations and review
- 16. this department ensures we are following all laws
- 18. This department keeps members demographic information updated