CIGNA TERMS 2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR GRADES.

CIGNA TERMS 2025| BRAND NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE YOUR GRADES. Employee Status: COBRA - CORRECT ANS Employers must offer to temporarily prolong coverage after the employees time with the company ends. Employee will have to pay 100% of the premiums. Packaging: Products - CORRECT ANS Refers to the network of physicians and health care providers that have agreements in place with an insurer. Packaging: Benefits - CORRECT ANS refers to the actual covered services Packaging: Benefit Design - CORRECT ANS refers to the copays, deductibles, and out of pocket minimums Packaging: Provider - CORRECT ANS used to describe the health professionals who provide the services. physicians, chiropractors. Packaging: Network - CORRECT ANS refers to a group of providers or health care facilities that are contracted with Cigna at various negotiated discounts. "In-network" Claims: Claim occurrence - CORRECT ANS the patient gets a service from a provider Claims: Claims submission - CORRECT ANS the provider submits a claim to the insurance company P a g e | 2 Claims: Claims Processing - CORRECT ANS the insurance processes the claim according to the insured's plan benefits Claims: EOB communication - CORRECT ANS Explanation of Benefits. it shows exactly what the insurance company has paid for the service and what will be paid by the health care provider. Claims: Bill communication - CORRECT ANS the part of the claim that is sent to the insured. Addt. Claims: Claim platforms - CORRECT ANS the software or system used to administer claims Addt. Claims: Claim Handling - CORRECT ANS the act of processing a claim in the claim platform or system.