BILLING
WHERE WOULD YOU GO TO MAKE A PAYMENT IN CIS?
BLUE 1
WHAT COLUMN TELLS YOU WHY THE CLAIM IS REJECTING?
ADJ COLUMN
WHAT ARE THE NAMES OF THE U65 SUPERVISORS?
JACKIE MCCORD, MERIDAN WARNER, KEISHA WILIAMS
HOW MANY ADULT TEETH ARE THERE?
32
WHAT IS THE SPPG CODE FOR AN AMBULANCE?
G0
WHAT INFORMATION CAN YOU TELL A NON PC THAT WANT TOMAKE A PAYMENT?
ONLY THE BALANCE DUE
HOW MANY LINES CAN BE ON A SHIELD CLAIM?
UP TO 10 LINES
NAME TWO PREVENTIVE SERVICES?
FLUE SHOT, PAP SMEAR, COLON CANCER SCREENING, BREAST CANCER.
WHAT IS RIDER C?
PERIODONTICS
WHAT DO YOU NEED TO READ AFTER OR BEFORE ADDING A PCSP?
PCSP DISCLOSURE
WHAT DOES APTC MEAN?
ADVANCED PREMIUM TAX CREDIT
WHAT IS A CROSS CLAIM?
A HOSPITAL CLAIM
WHAT CONTRACTS DO WE HANDLE?
PGX / NDJ (EPO) / XAD (Dental Blue Plus),
TCA / BGL / TXC / NDH / QGX / IBU / IBH / XAD (Dental blue and Dental Blue Select)
NAME THE FIVE COMPONENTS PARTS OF THE DENTAL PROGRAM?
RIDER D -ORTHODONTICS
RIDER C - PERIODONTICS
RIDER A -ORAL SURGERY
RIDER B -PROSTHETICS
BASIC COVERAGE
WHAT TAB WOULD YOU GO TO FIND HOW TO REQUEST A CANCELLATION OF A CONTRACT?
CANCELLATIONS
WHAT SECTION ON THE BILLING PAGE TELLS YOU WHEN THE LAST PAYMENT WAS MADE?
TRANSACTION COLUMN
HOW DO YOU DETERMINE A BASE CLAIM NUMBER?
TAKE OFF THE FIRST 3 NUMBERS AND THE LAST 2 NUMBERS
WHAT DOES ON EXHANGE MEAN?
PLANS SOLD THRU THE MARKETPLACE
WHAT IS THE SPPG CODE FOR A PREFERRED DENTIST?
83
WHAT TAB WOULD YOU GO TO FIND HOW TO RESET A PASSWORD?
MYBLUECROSS
WHAT DOES APTC4 MEAN?
MEMEBR IS 4 MONTHS IN THE GRACE PERIOD.
WHAT DOES EOB MEAN?
EXPLANATION OF BENEFITS
WHAT IS THE AGE CUT OFF FOR A CHILD TO BE ON A PARENTS PLAN?
26
HOW MANY QUADRANTS DOES A MOUTH HAVE?
4
WHAT IS THE TYPE INQ FOR ADDING A PC?
YQ