Network Health 101

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Across
  1. 1. Federal health insurance program
  2. 3. A closed ______ means that if the drug is not listed, it will not be covered (applies to HIX plans)
  3. 6. An account where contributions are limited, but the employee (instead of the employer) owns the account is called a Health ______ Account
  4. 9. Network Health and the ______ assume the risk in a level-funded plan
  5. 11. Network Platinum _____ has the most Network Health Medicare memberships
  6. 13. A ________ Provider Organization doesn't require referrals
  7. 15. 1570 is the default _______ password
  8. 18. SPMO stands for ______ Project Management Office
  9. 19. The percentage of a covered health care service the member pays
  10. 21. PHI stands for Protected ______ Information
  11. 22. A fixed fee for an eligible service
  12. 23. When an employer funds their own health insurance and assumes the financial risk, it is called _____ funded
  13. 25. Windows tip: press ______ + Z to undo your most recent action
  14. 26. On the Medicare side, this is when you make a request that you disagree with our decision to deny
Down
  1. 2. An _______ Provider Organization doesn't require a primary care physician designation, but cover has to be in network
  2. 4. The button to press when you don't want to be heard on a conference call
  3. 5. Personality and interpersonal skills that affect your relationships with others are called _____ skills
  4. 7. In Medicare, this is a written expression of dissatisfaction
  5. 8. A Point of _______ plan is when your primary care provider can refer you
  6. 9. A _______ is financial help provided by the government to help people afford health insurance through the marketplace
  7. 10. A Health ________ Organization is when your primary care physician is the central figure
  8. 12. Wellness product that employees have as a benefit
  9. 13. Self-funded enrollee
  10. 14. Name of the faxing software we use
  11. 16. ACA stands for ______ Care Act
  12. 17. The amount of money you must pay before insurance begins paying for services
  13. 20. On the Group side, this is a verbal expression of any dissatisfaction
  14. 24. ______ Sneakers is a supplemental benefit for Medicare members that includes access to fitness facilities