Exams
Service Types
Private Insurances
Medicaid/Medicare
Things to Remember
100

If a patient has an eye infection, what exam do they need?

Office visit


100

What is a CLFit?

A contact lens fitting for patient's who already had their eyeglass exam done in the last 90 days

100

How does a patient obtain a private/commercial insurances?

Through their employee or the insurance company

100

What is Medicaid?

Free or low cost insurance for low income families

100

How old should patients be to be seen at MED?

5+ unless otherwise stated in the Resource Guide

200

What are the three types of CL Exams?

Spherical, Toric and Multifocal

200

What service types (appointments) can you schedule on a Flex/RC/OV?

Recheck and Office Visits. Within 24 hours, any private exams, and as long as Dr is credentialed, any state exams.

200

if a patient does not have their insurance info available, what should you do?

Ask them to call back BEFORE the appointment and note that you advised them to call back

200

Who is the policy holder if the patient has Medicaid or Medicare?

The patient is always the policy holder no matter what age they are

200

How many family members can you schedule per day? 

2 unless you speak with the office and they give you the OK for more patients. 
300

How much is the Retinal Photo?

$27

300

What is the difference between NCLE (PW) and FCLE (NW)

NCLE (PW) - new MED patient; former CLs wearer

FCLE (NW) - former to MED; New CLs wearer, will need a class

300

What is the vision insurance under Carefirst?

Davis Vision

300

What State insurances are not accepted in Virginia

Anthem Healthkeepers Plus or any insurance under Eyemed Medicaid

300

When scheduling NEXT DAY appointments, what should you do? 

ALWAYS CONFIRM!
400

What is a Medical Exam?

A comprehensive eye exam for patient's with pre-existing conditions and/or Medicare. Only done in DE and PA.

400

What service type would you use for a state patient who is new to MED and needs contacts for the first time?

State-NCLE - will need a class

400

If a patient has VSP and does not have an ID #, what info can you ask for?

Last 4 of SSN

400

What State insurances are accepted in the Eye Street office?

Trusted Health and DC Amerigroup

400
When getting a call, what's the first system you should have up to make sure you have the office information ready?

Resource Guide

500

Patients that have Glaucoma and need to test their eye pressure periodically. What is the name of the eye pressure test?

Tonometry test (air puff)

500

What service type would you use for a patient who needs a Visual Field Testing?

Special Testing
500

What is the vision insurance under United Health Care?

Spectera or VSP

500

What is Medicare? Do you schedule these patients as Private or State?

Medicare is a federal gov't insurance for patients 65+ and/or with disabilities. You schedule these patients as PRIVATE patients.

500

What are some reasons you would auto-fail a call?

Bad phone etiquette, not asking/confirming HIPAA info, not updating account info, and not adding notes.

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