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SharePoint, Claim Processes, Types of Healthcare Plans, Cost Sharing Elements.
| Question | Answer |
|---|---|
| Name of the system that sorts and compiles the claims by family and issues EOBs. | ECHO |
| Name of the system that stores all of the client documents and processes. | SharePoint |
| Name of client document that is not plan specific but will provide information on the benefit packages and tiers. | Group Reference Sheet |
| Entire family must collectively meet the full deductible amount before the insurance starts covering costs. | Non-Embedded Family Deductible |
| Each family member has an individual deductible within the family plan. | Embedded Family Deductible |
| Plan type specifically excludes OON providers. | EPO |
| Healthcare plan with "No Network" | Indemnity |
| This is considered a calendar year. | January-December |
| This will depict the type of benefit a client is providing. | Riders |
| This is the first area the claim will start in. | Member Match/Data Match |