NY FEP PHASE I & II

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Across
  1. 2. the four letters used in B session to access check status
  2. 4. website for FHEP members to utilize
  3. 7. to obtain approval of a health care prior to services rendered
  4. 10. Who we use for our Subrogation investigations
  5. 12. a place to find answers to csa questions like google
  6. 14. care received to prevent illnesses
  7. 16. payments made to covered services first
  8. 17. an alignment of member policies
  9. 19. Government National Health Insurance Plan
  10. 20. a web based enterprise application used to retrieve histories, member EOB’s and provider remittance
Down
  1. 1. CVS Caremark
  2. 3. an catastrophic event involving another party
  3. 5. health plan members
  4. 6. EHR multi-use software
  5. 8. a sequence of numbers for identification
  6. 9. tab in CSA to locate a specific member
  7. 11. software to visually access submitted claims
  8. 13. Post Adjudication Modernization
  9. 14. an instruction written by a medical practitioner that authorizes a patient to be provided a medicine or treatment
  10. 15. mandates the application of Medicare pricing tier for members 65 or older
  11. 18. to measure the effectiveness of healthcare received