Notes

ACA

INTRANET VS INTERNET:
INTERNET - available to everyine provied that they have access to gina network


INTRANET privately maintianed a private computer network that can be
privately secured
only authorized individual hasve access

cids: citrix id -


GREETING - 5 SEC - COMPANY - NAME
- ACCURATE AND COMPLETE -
read the disclaimer + foiotnotes

RESOLUTION

CLOSING:
complete documentation? reason of call // indicate foot notes//
is ther anything else?
clising- thank the Cx and say good bye//


never repeat the
some of the information you porided did not match


citrix:
username: C944735
pw:Vemc1989


ACA -
The Affordable Care Act puts consumers back in charge of their health care. Under the law, a new “Patient’s Bill of Rights” gives the American people the stability and flexibility they need to make informed choices about their health

HMO

health maintenance organization (HMO) is an organization that provides or arranges managed care for health insurance, self-funded health care benefit plans, individuals, and other entities in the United States and acts as a liaison with health care providers (hospitals, doctors, etc.) on a prepaid basis.

PPO
A PPO is a Preferred Provider Organization within the framework of the managed care health insurance industry. A PPO is a group of doctors, hospitals, and other health care providers who create a network and negotiate predetermined fees with a given health insurance carrier

PCP - Pirmary CAre Physician
A health insurance term used to describe a physician who is responsible and coordinates all of a patient's care in a managed care system like a preferred provider organization (PPO) or health maintenance organization (HMO). The primary care physician is the primary point of contact with the insured patient and acts as a gatekeeper controlling the insured's access to health care through the insurer.


PPG - Primary Physician Group

IFP - Individual Family Plance

EOC - Emergency operation Center

SBC - summary of Benifits

SOB - schedule of benifits

HNCA - Health Net Life Insurance Company

HNOR - Health net health plan of Oregon

HNL - HEALTH INSURANCE COMPNAY

HIPPAA - health insurance portabilty and accountabily act


PHI -
PII
MEMBER
SUBSCRIBE
DEPENDED
KB
DEDUCTIBLE
CO-PAYMENT
CO-INSURANCE
OOPM
PROVIDER
CSR
MAA
CAPITATION
PLAN CONTRACTED RATE
BILLED AMOUNT
DIFFERENCE