This module will use a simulation to describe viewing the benefit plan list.
Viewing the Benefit Plan
This module will describe how to ensure that a MC benefit plan is associated with the MC program in order and view a benefit plan with the help of a simulation.
Managed Care Programs: An Overview
This module will provide an overview of MC Programs. It will also introduce benefit plans and explain how benefit plans are assigned. It will also introduce MC Programs and explain how to set up MC Programs.
Health Benefit Information Overview
In this module, you will learn how the benefit information is used by other subsystems to enforce State policy. You will also understand the benefit plan selection and assignment criteria supported by the Benefits Administration component.
Assessment: Maintaining Benefit Plans
Assessment
Associating and Modifying Code Set for Provider Type/Specialty/Sub Specialty Restrictions
In this module, you will learn how to associate and update code set for Provider Type/Specialty/Sub Specialty restriction.
Associating and Modifying Code Set for Surgical Restrictions
In this module, you will learn how to associate and update for surgical restriction.
Associating and Modifying Code Set for Diagnosis Restrictions
In this module, you will learn how to associate and update code set for diagnosis restriction.
Associating and Modifying a Benefit Plan County Restriction
In this module, you will learn how to associate and update code set for county restriction.