Covid Jeopardy Template

L1	L2	L3 PHE	TAMS/Juris MISC
100 Megan Cuna Who do L1 Claims built get assigned to?	100 MD or facility or govt. Who mandates an L2 claim?	100 TRU True or False: Documentation is needed to RTW from an L3 claim.	100 Personal Leave/Medical Emergency What kind of claim is opened for L2?
200 52 Weeks What is the maximum benefit for L1 claims?	200 Unlimited How many L2 claims can an ASC have?	200 20 days How many days does an ASC have to send in supporting medical for an L3 claim?	200 Personal Leave/Emergency Leave What kind of claim is opened for L1?
300 Self-Quarantine What is an L1 claim built for?	300 4 hours How many hours does an ASC have to RTW in order to qualify for a new, 14 day paid L2 claim?	300 DE Note What note type indicates eligibility?	300 26 weeks How many pay periods are used to calculate 100% benefits?
400 Unlimited How many L1 claims can an ASC have?	400 FALSE True or False: Documentation is needed to approve an L2 claim.	400 TT/Benefit Summary Where can the exhaust date be found for paid benefits?	400 14 days How many days does ASC get paid for 100% for L2/L3?
500 4 days How many days minimum must be requested for L1?	500 BA Note What notes are left in an L2 claim?	500 50% max benefit $400 biweekly What percent of benefits do ASC's get paid on an L3 PHE claim?	500 03/01/2020 What is the first date an ASC can be eligible for the PHE policy?

COVID