Humana Jeopardy Jeopardy Template

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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