Across
- 2. Cigna's billing system
- 4. Purpose is to delay CARBS from producing a status of 'Billed Final'
- 7. The sum of all prior year deficits
- 9. Reserves that are calculated internally and serve as a benchmark for the OA at settlement
- 11. Data will update as changes are made
- 12. Completed to ensure that the systems used for settlement are reporting correctly
- 15. Another word for profit
- 16. The settled reserve change is less than the formula reserve change
- 18. Money set aside to pay runout claims upon account cancellation
- 19. Account-specific, non-negotiable expenses
- 20. Cigna's experience (premium/claim) reporting system
Down
- 1. Results when the PH pays premium in excess of expenses and claims
- 3. Actual reserves on an account
- 5. Cigna's settlement system
- 6. Data becomes locked in STARS and revisions made won't reflect in the settlement data.
- 8. The time between when a claim is incurred and when it's paid
- 10. TY Settled Reserves - LY Settled Reserves
- 13. Incurred but not reported
- 14. The settled reserve change is more than the formula reserve change
- 17. Results when the cost of expenses and claims exceeds the amount of premium paid in
