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BenefitFocus Knowledge > Max Family > Flashcards

Max Family Flashcards

1
Q

Pre-defined ________ within the Benefitfocus application are a key component of the gMax application and process flow.

A

group templates

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2
Q

hrMax is in/out bound?

A

inbound

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2
Q
  • This file contains all invoices that are to be displayed in eBilling.
  • It contains summary information, such as balance due to the carrier, and it also contains details, such as roster information, previous adjustments and claims information.
  • can send List Invoices, Claims Invoices and Volume Invoices. List Invoices are the most common type.
A

bMax

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3
Q

used to create and update prospective groups in Group Shopping

A

prospect gMax

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4
Q

Used to establish and maintain admin accounts for eE and eBilling. Carriers can set up administrator login info and permission profile, and send this data to Benefitfocus on this.

A

hrMax.

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4
Q

When Do Employers Send payMax Files? (6)

A
  • Personal changes: Changes to social security number, name, address, demographic, etc.
  • Payroll/work changes: Changes to salary, pay frequency, etc.
  • New hires: When a new hire is added to the Pla
  • Termination/cancellation changes: Terminations are sent one time on the inbound payMax file.
  • Rehires/reinstatements: If no Termination Date is received on the payMax file, and the Date of Hire on the file is more recent than the Date of Hire within the Platform, the employee will be rehired.
  • Retirees: Retirees are only sent on an inbound payMax file one time. This occurs at the time of terminatioon/retirement of the employee.
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4
Q
  • xml file format was designed to allow for automation of ancillary carrier approvals for evidence of insurability (or statement of health).
  • This xml batch file is delivered from a carrier to Benefitfocus to inform of underwriting decisions and adjust members to their new approved amounts.
  • The file contains only members that are currently pending a requested coverage level in the Benefitfocus enrollment platform that are being adjusted for a new decision.
A

eoiMax

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5
Q
  • used to initiate renewal shopping for employer groups.
  • Assigns a renewal workflow to a group and can also be used to assign an initial renewal quote.
A

rMax - (Renewal Quote Information)

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6
Q

Max Files used in eBilling (7)

A
  • aMax
  • hrMax
  • bMax
  • psMax
  • cMax
  • moneyMax
  • greenMax
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6
Q

When Do Carriers Send bMax Files?

A

Invoice generation: When a carrier generates an invoice/bill for a client, a bMax file is sent to the eBilling App for invoice presentment.

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8
Q

gMax is inbound/outbound?

A

inbound

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8
Q
  • This file contains payment information for payments made both within eBilling and for payments made directly to the carrier.
  • It displays the status of each payment made to the carrier that was initiated electronically or offline. This information displays in the Payment History section of eBilling.
  • This file also contains pertinent employer group or individual information, such as name and identifying numbers, so payment records can be matched with an existing client record.
A

psMax - Payment Status

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9
Q

used to set up bank account for existing recurring payments. The acctMax is a one time file used at the beginning of an eBilling implementation.

A

acctMax

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11
Q

provides a mechanism by which carriers can transmit group demographic and benefit information to Benefitfocus for initial group creation and on-going group maintenance.

A

gMax

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11
Q

aMax is inbund/outbound?

A

inbound

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12
Q
  • used to create and update products used in Group Shopping.
  • Contains plan attributes for use in the Plan Shopping and Member Guided Shopping applications.
  • Typically processed as needed to update a product catalog.
A

qMax - Quote Product Information

13
Q
  • this file notifies the carrier when paper bills are turned off.
  • Is a changes only/ transaction file.
A

greenMax

14
Q
  • notifies the carrier when a group has requested a re-bill.
  • Is a changes only/ transaction file.
A

rebMax - Rebill Request

15
Q

benefits that 100% paid by the employee

A

Voluntary Benefits

17
Q

When do Carrier Send hrMax files?

A
  • uploading new ben admin accounts
  • modifying ben admin configurations
17
Q
A
19
Q

This gMax file is used to establish and maintain employer group and prospect information, including

A
  • support for initial creation
  • ongoing maintenance and renewals.
20
Q
  • this file notifies the carrier when ACH payments and successful Credit Card payments have been made through eBilling or the binder web service.
  • Is a changes only/transaction file.
A

moneyMax

21
Q

updates the status of the existing invoice to obsolete making the invoice void. An invoice with an obsolete status is viewable only by carrier users, and not viewable by agents and customers.

A

vMax - Void Invoice

23
Q

in conjunction with gMax, ____ is used to transmit member demographics and corresponding benefit info between Benefitfocus and the carrier.

A

iMax

24
Q

an application process in which you provide information on the condition of your health or your dependent’s health to get certain types of insurance coverage.

A

Evidence of Insurability (EOI)

26
Q
  • essential file that determines how all client data is loaded into eBilling.
  • divides and organizes all of the employer groups or individuals that belong to a specific carrier and label system.
  • This file is used to establish and maintain client information. It houses basic data about the client, including: name, group number, address information, basic preset permissions and configuraion information, such as, payments, adjustments and delinquency
A

cMax (Billing Client Information)

27
Q

When do carriers send iMax files (4)?

A
  1. uploading new employers
  2. renewing employers
  3. employee benefit changes
  4. direct member update
28
Q

notifies the carrier when a customer enables or disables auto-dral for a bank account.

A

autoMax

30
Q

When do carriers send gMax files (4)?

A
  1. uploading new employers and prospects
  2. modifying employer configurations
  3. uploading coverage amount details
  4. uploading renewals
31
Q

cMax Example Scenario: New Hire

A
  • Carrier ABC has recently added a new employer group to their membership system.
  • In order to load all of the employer group’s information properly into the eBilling App, Carrier ABC exchanges the data with Benefitfocus via a cMax file.
  • Benefitfocus receives the cMax file and updates the new employer group’s informaXon.
32
Q

Give an example/scenario of when an hrMax is used:

A
  • an Employer hires a new ben-admin and tells the carrier
  • carrier adds to their system and sends an hrMax file to BF
  • Platform is automatically updated (ben-admin can now manage members)
33
Q

All agents in platform are linked to specific agencies. An agent account cannot be created with the Platform without associating that agent to a partucliar agency via

A

aMax file. (AGENT!)

34
Q

When does Benefitfocus send iMax files (3)?

A
  • regularly scheduled updates
  • open enrollment elections
  • periodic data synchronization
35
Q

allows the carrier to update eBilling with the most recent outstanding balance for an invoice without having to issue a rebill.

A

updtMax

36
Q
  • provides a means for Benefitfocus and employers to exchange employee payroll data between the employer’s payroll and HR systems, the Platform and the carrier’s system.
A

payMax

BenefitFocus Knowledge (3 decks)

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