Hunger Games Style
NPI: 1932125812
Practice Address: 49 Fallon Ave SEAFORD, DE
Inn or Onn?
INN
When the letters PSAB are present in the related entities tab, that indicates that Pacific Source's PSA team handles which type(s) of account(s) for the group?
PSAB = both FSA and HRA
What is David's current medical eligibility?
Active and effecting as of 4/1/2022 on the navigator network.
EOB's can be sent to:____________
EOP's can be sent to:____________
EOB's can be sent to: Members
EOP's can be sent to: Providers
Which dog breed is known to run at speeds of 40-45 mph?
Greyhound
Restrictions for: Ozempic (0.25 or 0.5 MG/DOSE) Solution Pen-Injector 2 MG/1.5ML Subcutaneous on the PDL drug list?
PA, QL 1.50/28 days.
What is the internal phone number for the group membership department?
541-684-5586
Was RX #152558751 received through mail order or at an in-network retail pharmacy?
Mail Order
In which states can First Health NOT be used?
Oregon, Idaho, Washington, and Montana.
What is the name of the dog who holds the Guinness World Records title of World's Oldest Living Dog?
Bobi, a 30-year-old canine from Portugal!
What benefit would CPT code 96570 pay under?
Office Services/Supply NON-Surgical
Can I change a subscriber's address from
294 Adams St. Twin Falls, ID 83301 to
1029 W Pine Ave Boise, ID 83646
for a group policy?
Yes, you can. We also need to advise the subscriber to inform the HR department that their address has changed to prevent the address being reverted.
Does David have an InTouch account?
No, he does not.
Raw Data Viewer (RDV) is used to view claims that were sent to pacific source by which method?
Electronically
How many officially recognized dog breeds are there worldwide?
360
Which three departments enter information into CT Viewer?
Health Services, Appeals & Grievance, and Pharmacy
What is the group number for Pacific Botanicals LLC?
G0017215
What is David's original effective date?
04/01/2016
Recite the PA (no PA required) disclaimer.
* This CPT code is coverable when billed with a valid/coverable diagnosis, and as long as the procedure is not a plan exclusion.
-OR-
* This CPT code is coverable when billed with a valid/coverable diagnosis, the procedure is not a plan exclusion, and is not investigational, experimental, or unproven.
Which dog won the 2022 Westminster Kennel Club Masters Agility Championship?
Bee, a Shetland Sheepdog.
What is Primrose Everdeen's cat's name?
Buttercup
A new employee of the Redmond Police Department Starts next week. They do not currently have active insurance, but they need to know what their benefits will be for an office benefit with an INN-Specialist. Company's group number is G0020715. Quote the benefit.
This benefit is first subject to a $35 copay, and is then covered at 100% of the allowed amount.
A provider calls in asking about the decision on the PA for David for date of service 2/8/2023. What is the most accurate subject and category to document this?
Subject: Um Inquiry
Category: Not on File
What are the 6 steps of getting to the pharmacy claims screen?
1. Log In
2. Client Online Services
3. View Claims
4. Enter Member ID & Search
5. Click on name with most recent eligibility
6. View Claims
What percentage of dogs sleep in their owners bed?
43%