KA
MEDICARE MEMBER: 2025 Dental – individual – general info and guide
KA 4355
True or False
We assist members who has Liberty Dental calling about their dental benefit.
False
To determine if it is a Medical or Dental expense we need to ask for procedure description name or ___________
CDT Code / CPT Code
The standard turn around time for claim processing is _____________ from the date Aetna receives the claim.
7-10 business days
Medicare Member: 2025 Dental – Dental Implant Organization Determination
KA 4419
True or False
We connect members who have Liberty Dental to the Liberty Department when they are calling about Medicare dental complaints and appeals.
False
Is this procedure code medical in nature or dental in nature?
D7413
MEDICAL
The _________________ is the date the claim arrives in the Aetna claim office
Received Date
Medicare Member: Dental - Oral Surgery: Medical or Dental in Nature
KA 4218
True or False
We connect members who have Liberty Dental to the Liberty Department when they call about their dental claims.
True
Is this procedure code medical in nature or dental in nature?
D7971
DENTAL
When a claim is fully _________, that means the claim wasn't approved for payment.
denied
Medicare Member: 2025 Dental – Liberty Dental for CA, FL, NV, NY and OK - General Info and Guide
KA 4326
Do we assist Liberty Dental members in locating dental providers when they call us, or do we connect them to the Liberty Department?
Assist
Both Medicare CSRs and Liberty can assist
Is this procedure code medical in nature or dental in nature?
D7490
DENTAL
The Claim Status field will indicate when a claim is __________ from the EWM system and not passed to ACAS for processing.
rejected
Medicare Member – Aetna Dental Network Member Requests a Service Estimate and Provider Fee Schedule
KA 3677
Liberty Dental is a dental plan vendor that will administer embedded dental benefits for select Aetna California, Florida, __________, New York, and Oklahoma Plans.
Nevada
When diagnosis codes like C03.0 and C41.0 are present, extractions should be considered _______ in Nature.
Medical
Claims that are in a _______ status require research to determine the exact details of the payment. Specific areas to check are:
Coverage code
Payment information
Action code(s)
partially denied