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Q 1/16
Score 0
What information will you need to locate a claim without using a claim number?
30
Business Tax ID and/or Subscriber ID number with a date range.
Business Tax ID and/or Third Party Agency Tax ID with a date range.
Q 2/16
Score 0
On a procedure screen of a claim, there are how many sections?
30
6
5
4
7
16 questions
Q.
What information will you need to locate a claim without using a claim number?
1
30 sec
Q.
On a procedure screen of a claim, there are how many sections?
2
30 sec
Q.
Using the image, what does the missing information indicate?
3
30 sec
Q.
What is the difference between "Adjust Claim" and "Reverse Claim"?
4
30 sec
Q.
What is the dollar threshold that causes a claim to route into a "Corporate Audit" review?
5
30 sec
Q.
Which of the following is a reason to "Adjust a Claim"?
6
30 sec
Q.
What is the benefit of using the "Family Claims History" button vs "Claims History" button on your benefits screen?
7
30 sec
Q.
In the claim procedure section, how do you know that a claim has been adjusted?
8
30 sec
Q.
Pre-Treatment estimates are similar to a processed claim but can the Pre-Treatment estimate be adjusted?
9
30 sec
Q.
What is a claim called when the claim is not attached to a members policy?
10
30 sec
Q.
Looking at the claims Inquiry "advanced search" section, what does the ICN mean?
11
30 sec
Q.
Looking at the claims Inquiry screen "advanced search" section, what does "XCN" mean?
12
30 sec
Q.
When you see the "C.O.B" action button at the top of a claim, what does it indicate?
13
30 sec
Q.
What does the reverse claim button do?
14
30 sec
Q.
A Pre-Estimate was submitted at the end of a benefit year but services were not completed. Which button will allow you to fix the claim issue for our provider?
15
30 sec
Q.
What does "Disallowed" mean when a claim line has this status?
