Those Who Don't Learn From It are Doomed to Repeat It
We Are Family
Membership Has Its Rewards
Groups A-Go-Go
Dental Potpourri
100
This refers to the time the procedure was actually done.
What is the Date of Service (DOS)?
100
This will be the dependant number for a spouse.
What is 02?
100
This shortcut allows you to go right to the member accum screen.
What is 09?
100
This function will get you to the benefit screen.
What is F4?
100
This is the term used to describe when a patient cannot be billed by the dentist for a procedure.
What is disallowed?
200
This is the main indicator of a pre-determination.
What is all zeroes for the date of service?
200
Name four of the buttons on this screen.
What are History, Claim, Member, Group, CITS and ID Card?
200
Screen 02 shows you this important benefit-related start date.
What is the waiting period start date?
200
Name the two most common additional group features.
What are To Go and EBP?
200
This is a set of fees groups created for procedures.
What is Table of Allowance (TOA)?
300
This is the order in which claims are placed in the system.
What is as received?
300
This word indicates that there is a second page of dependants.
What is "more"?
300
Screen Y64 allows for these two member-related functions.
What is updating the tooth chart and update member address?
300
What "DM12" means on the benefit screen.
What is deductible and a 12 month waiting period applies?
300
All individual plans fall under this program type.
What is MAC?
400
These numbers will indicate an issue with the processing of a claim.
What are reference codes?
400
Abbreviated "BVN," this number is used to determine if a provider has requested a faxback.
What is Benefit Verification Number?
400
This feature's balance will be reflected on the member's accum screen.
What is To Go?
400
Name the four main sections of special conditions and their procedure code groupings.
What is Cov A (D&P), Cov B (Basic), Cov C (Major) and Cov D (Ortho)?
400
These are the two ways waiting periods can be applied.
What is by individual or across all employees?
500
Name three dollar fields that appear under History.
What is Coordination of Benefits, Patient Pay, Delta Pay and Deductible?
500
These are the two possible statuses on the family screen and their abbreviations.
What is Active (A) and Terminated (T)?
500
The two statuses of teeth on the teeth chart.
What is Intact (I) and Missing (M)?
500
The two yearly formats for benefit accrual.
What are calendar and contract?
500
Define EBP.
What is Enhanced Benefits Program, which allows for extra cleanings, perio maintenance and floride treatments based on pre-existing medical conditions?