Cigna Update Healthstream Quiz
Questions with Complete Solutions
"S" logo - Answer-indicates shared administration repricing
ASO - Answer-administrative services only plan contracted by a self-funded employer
group to manage specific responsibilities such as claims management
SAR plan - Answer-self-funded ASO benefit plan contracted to provide network access
along with tasks such as medical management, utilization review, & claim repricing.
"G" logo - Answer-indicates alternate service channels, including customer service
phone numbers & claim appeal addresses
TPA - Answer-a third party contracted by a GHP to manage specific plan areas
Cigna unique ID - Answer-assigned when multiple TPAs are utilized by the member's
plan
Center Care - Answer-local Cigna network that is to be billed when the member's card
bears the logo
GHP - Answer-group health plan
Cigna - Answer-RTE will
Cigna traditional - Answer-should be used anytime no corresponding Epic coverage
exists per the card's claim address /network
Always search for coverage by - Answer-the payor & the plan (network)
Generic coverage should be used - Answer-only as last resort for payors unable to
accept electronic claims, OR for new plans not yet created.
Participants with Medicare as their primary coverage are - Answer-not enrolled in Cigna
SAR plans.
Questions with Complete Solutions
"S" logo - Answer-indicates shared administration repricing
ASO - Answer-administrative services only plan contracted by a self-funded employer
group to manage specific responsibilities such as claims management
SAR plan - Answer-self-funded ASO benefit plan contracted to provide network access
along with tasks such as medical management, utilization review, & claim repricing.
"G" logo - Answer-indicates alternate service channels, including customer service
phone numbers & claim appeal addresses
TPA - Answer-a third party contracted by a GHP to manage specific plan areas
Cigna unique ID - Answer-assigned when multiple TPAs are utilized by the member's
plan
Center Care - Answer-local Cigna network that is to be billed when the member's card
bears the logo
GHP - Answer-group health plan
Cigna - Answer-RTE will
Cigna traditional - Answer-should be used anytime no corresponding Epic coverage
exists per the card's claim address /network
Always search for coverage by - Answer-the payor & the plan (network)
Generic coverage should be used - Answer-only as last resort for payors unable to
accept electronic claims, OR for new plans not yet created.
Participants with Medicare as their primary coverage are - Answer-not enrolled in Cigna
SAR plans.
