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CRM CI ACCUMULATIONS INSURANCE PLANS ACRONYMS
100
Customer Relationship Management
What is the definition for CRM?
100
Customer Interface
What does CI stand for?

100
Deductible
What is the amount that has to be paid before any insurance company pays or kicks in?
100
HMO
All in network doctor?
100
PAIG
Shows POA/ Emergenct contact?
PAIG
200
To document and verify changes made
What is CRM used for?
200
To locate
What is CI used for?

200
Copay
What is the set amount for certain procedure paid by member?
Copay
200
PFFS
Private fee for service, sells only medical/ stand alone plan?
200
PATR
Command screen?
300
Details and Policy
What are the two main tabs used in CRM?
300
Unique member ID
What is UMID stand for in CI?
Unique member ID
300
Max out of pocket
What is the max amount member can pay before insurance pays within 1 year ?
Max out of pocket
300
PPO
Preferred provider organization?
300
PAMG
Change primary provider screen?
PAMG
400
USPS.com
Where do you validate a customers address in CRM?
400
PAPI
What is home base in CI?

400
Cost sharing
What is the contracted amount of what member pays and insurance pays?
Cost sharing
400
PDP
Prescription drug plan?
400
ICEP
Initial coverage election period?
500
Three
How many cases would you create if a member called in asking about locating a surgeon, and if the surgery is covered, and updating their phone and new address?
500
PEDM
Where do you search for person demographics in CI?

500
Coinsurance
What is the set percentage based of services? Example: Percentage has to pay 20% by member and 80% by insurance. (percentages vary)
500
PPO
Which plan provides in network and out of network?
500
LTTS
Long term service support?






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