1.Why do we have master’s module?
3.What data does currency master stores?
5.What is the room types stored in the masters?
7.What does dental benefit batch contain?
9.Who is broker? Why is it necessary to have a broker master?
11.Why do we enter coverage codes?
13.Why do we have a currency converter?
2.What are the features of masters?
4.What data does communication type stores?
6.What is ICD benefit batch? What data does it store?
8.What is class hospital batch? What is it used for?
10.What is coverage master? What is it used for?
12.What is user master and password change?
1.Why do we have an insurance module?
3.Why are ICD codes stored?
5.What is the use of medicine codes?
7.Why do we enter territory, country, and city?
9.Why do we give relation codes?
2.What are the features of insurance module?
4.What is the use of dental codes?
6.What is CPT? What are CPT codes used for?
8.What is industry? How can it be used in the system?
1.What is benefit provider?
3.What information does hospital master store?
5.What does * mean? Is it compulsory to enter the details which have *?
7.What is average claim?
9.What is IP? What is IPD approval amount?
11.What does OPD follow-up days mean? What is it used for?
13.What are the different types of pricelists in hospital contract? How do we upload the price lists?
2.What are the features of benefit provider?
4.What is hospital contract? Why do we make a hospital contract?
6.What does PPP & EPP mean in hospital contract?
8.What is OPD? What is OPD approval amount?
10.What is day-case? What is day-case approval amount?
12.Why do we enter medicine discounts?
14.What is volume discount? Why do we use it?
1.What is policy administration?
3.What is client master?
5.What are the details stored in client master?
7.How many numbers of branches can be added in client details?
9.What is policy number? How is it generated?
11.What is CCHI share and administration percentage, endorsement fee?
13.What is policy status?
15.Can we edit the data after posting the premium?
17.What does CCHI policy class mean?
19.What is premiums and out territory?
21.What are deductibles?
23.Why do we enter rooms in class master?
25.What are exclusions?
27.What are sub-limits? Why is it necessary to enter sub-limits?
29.What is class master?
31.What is member import? How useful is member import?
33.Why do we have maximum and minimum age limit for employee?
35.What are event, coinsurance and aggregate?
37.What is provider inclusion?
39.What is territory exclusion?
41.What is member migration?
43.What is member delete?
45.What is member card print?
47.Why do we have mobile number option? How useful is it?
49.What is meant by member addition/deletion request?
51.What are the details under member insured list?
53.What is member addition commission report?
55.What is member migration report?
57.What is member addition client report?
59.What is member’s card print report?
61.What is meant by credit note? What are the different reports that can be generated for credit note?
62.How can the previous debit/credit note be generated again?
63.Members Upload Validations
2.What is group master?
4.What is the difference between group master and client master?
6.Why do we enter sponsor id? How does it help?
8.What is policy master? What data does policy master store?
10.What is inception and expiry date?
12.What does payment terms mean?
14.What is meant by premium post? When do we post a premium?
16.Why do we have a notes column? How helpful is it?
18.What is general and eligibility?
20.What are benefits?
22.What is territory provider – doctor?
24.What are inclusions? Why do we enter inclusions?
26.Why do we enter exclusions?
28.What is medicine and supply exclusions?
30.What is other coverage? Why do we enter other coverage?
32.What does authorization for OPD, IPD and second opinion mean?
34.What is out of network reimbursement within territory?
36.What does maximum per visit mean?
38.Why do we exclude doctor?
40.What is member master?
42.What is member stop or restart?
44.What is meant by member level benefits? How is it useful?
46.What does import members to CCHI mean?
48.What is meant by client member request?
50.What are the details under policy member details?
52.What is member addition report?
54.What is member deletion report?
56.What is member migration commission report?
58.What is member deletion client report?
60. What is meant by debit note? What are the different reports that can be generated for debit note?
1.What is meant by approvals?
3.What is meant by approval request?
5.Where do we get the diagnosis code? Can we enter it manually?
7.How do we take the approval decision?
9.What is system review?
11.What is meant by UCAF, OCAF, and DCAF?
13.What is meant by rejection codes? What is it used for?
15.What is approval request status report? Can it be generated in print form?
2.What are the key features of approvals?
4.Can the approval request be sent through hard copy and in print form?
6.What is meant by approval decision?
8.Why is it necessary to click all the check boxes in approval decision page?
10.What is approve, reject, partial approve, second opinion, cancel, and close approval?
12.What is approval request status?
14.What is meant by member info?
1.What is meant by customer service?
2.What are member details?
1.What is meant by claim?
3.What is meant by claims batch?
5.What is meant by claims batch month/year?
7.What is claims entry?
9.Why is it necessary to enter the deductible?
11.What is meant by claims review?
13.Why is it necessary to click on check diagnosis?
15.What is list of claims review? What are the key features of list of claims review?
17.Can we generate the claims payment report for a single batch ?
19.What is explanation of benefit report? Can it be printed?
21.What is meant by claims credit note? Can we print the claims credit not?
22.Can we print the previous claims credit note?
23.TPA Claims Upload Validations
2.What are the key features of claims module?
4.What are the types of claims?
6.What is meant by batch post? Why do we post a batch?
8.Can we save the claim without selecting the diagnosis or services?
10.What are claims upload?
12.How do we review a claim?
14.Why do we post a claim?
16.What is claims payment report? What are the different types of claims payment report?
18.Can we print the claims payment report?
20.What is meant by member claims verify report?
1.What is meant by rate module? What is it used for?
2.What is tariff module?
1.What are accounts? Why is it necessary to maintain accounts?
3.What is voucher? How is it useful?
5.What is meant by statement of accounts?
2.What is header master?
4.How many types of voucher are there?
6.Can we generate a print form of statement of accounts?
1.What is meant by reinsurance?
3.What is reinsurance master?
5.What is PLPOM report? Why do we require PLPOM report?
7.What is POSLPUWM report? Why is it necessary?
9.What is meant by rate history report?
11.What is meant by BPC report?
13.What is meant by reinsurer premium report? Why is it necessary?
15.What is meant by claims payment report under reinsurance?
17.What do reinsurer debit notes mean?
2.How is it useful to have a reinsurer?
4.What is treaty master? How is it helpful?
6.What is ILPOM report? What is the difference between PLPOM and ILPOM report?
8.What is meant by earned premium report?
10.What is meant by BPCB report?
12.What is the difference between BPCB and BPC reports?
14.What is meant by net rate premium report? Can we generate a printed form?
16.What is meant by reinsurer credit notes?
18.What is meant by reinsurer claims debit notes list?
1.What are reports? How is it useful?
3.What is policy template?
5.What is policy analysis report?
7.What is meant by utilization report? How is it helpful?
9.What is age band report? What does it show?
11.What is list of hospitals?
2.What is computation of premium? Can we generate the report for computation of premium?
4.What is table of benefits? How is it helpful?
6.What is meant by risk profile? How is it helpful?
8.What is meant by pre-existing and chronic report?
10.What is meant by client provider’s list?
1.What is meant by compliance report?
3.How many numbers of members can we export at once?
5.What is SAMA annual report?
2.What is meant by CCHI members upload report? What is it used for?
4.What is meant by CCHI beneficiary report?
1.What are downloads?
2.How helpful is this module?
1.What is corporate module? How useful is it?
2.What are the various features of corporate module?
2.How easy is the search of the member details?
1.What is member verification? How useful is it?
2.What is the function of the screen ‘View requested list’?
1.What is member addition? How do we add a member from corporate module?
2.Why do we have view requested list in member deletion?
1.What is member deletion? How do we delete a member from corporate module?
2.How helpful is hospital module?
1.How can we send the approval from hospital module?
2.How do we verify member eligibility?
1.How do we send claims from hospital module?
3. What is claims status?
2.What is approval status?
2.How helpful is claims upload from hospital module?
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To set new standards and to be recognized as a leader.