Product Codes
GUESS WHAT
authorizations
Mentor Daily
quoting benefits
100
MCD
What is MEDICAID
100
WHAT IS THE 2015 BENEFIT GRID PLAN # H0248-001 RIDER CODE VIS-775 SAY
What is $40MAX BENEFIT COVERAGE
100
Name the three authorization screen we use in CAS
What is pri rfi rsi
100
What mentor document do you us to Authenticate and gain authority for a caller
What is Hipaa overview or Hipaa Guidelines
100
what are the 5 resources for quoting benefits
What is sob, eoc, coverage issues, CCP benefits detail sub tab and benefit grid
200
MEDICARE PFFS
What is MEF
200
Were is CI housed
What is CAS
200
what is the control line for RFI
What is rfi,umid#,,first name, releationship
200
What document do you need to open up to give the member the number to Humana pharmacy
What is Medicare and Medicaid telephone-address list
200
what are the 6 step to quoting benefits
What is effective date , deductible, copay, coinsurance, moop and any benefit limitations
300
MEDICARE HMO
What is MER
300
WHAT IS THE FIRST STEP IN QUOTING BENEFITS
What is VERIFYING ELIGIBILITY
300
When do we use any relationship other than ee
What is never
300
In Mentor what drop down do you pick to view member benefits
What is Benefit grid
300
what is formula is this for (allowed amount -5%) x 1.15
What is limiting charge
400
WHAT PLAN WORKS LIKE A HMO
What is MCD
400
BENEFIT GRID FOR RPPO R5826-005 WHAT IS THE 2015 IN/OUT POCKET DEDUCTIBLE
What is $500
400
What are the four type of codes
What is CPT,HCPCS,ICD-9, AND ICD-10
400
what document do we use to fill out the crd's in ccp
What is Medicare CCP CRD Job aid
400
Dr. Pepper is excepting Medicare assignment, so we would use the limiting charge formula to calculate member responsibility
What is false
500
WHAT LOB CODE IS HMO IN FL
What is 62
500
WHAT IS THE IN MOOP FOR RPPO R5826-005 CURRENT YEAR
What is 6,700
500
When is a ACD required
What is never or not required
500
Tell me what drop down we use to find codes 99510 and what type of code is it
What is codes and cpt
500
when quoting benefits ___ is from Humana View and ____ ___ is from the members view
What is CCP and Benefit Grid
M
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