Terminology
PowerSTEPP Screens
Batching
Miscellaneous
Dental
100
What is a rider?
What is defines optional benefits such as medical, dental , vision
100
The PowerSTEPP screen you will use to enter a free form note
What is ME1083
100
What information do you input in the CT field
What is the claim total
100
What PowerSTEPP screen would you use to look up a diagnosis or CPT code when you don't have a claim number
What is RF1033
100
The status code for a dental pre treatment estimate
What is E
200
What is a tier
What is indicates members level of coverage (single or family)
200
The PowerSTEPP screen you will use to view claim specific notes
What is CL1083
200
How do you know if we should assign benefits to the patient or the provider
What is signature on file (pay provider) signature not on file/blank (pay patient)
200
What PowerSTEPP screen would you use to look up a hold code
What is RF1013
200
The benefit class that typically covers periodontal therapy
What is Class II
300
What is a parent/client group code
What is a code with a minimum of 2- characters that defines the group
300
What function key is used from the CL1032/CL1033 to view precertifications
What is F6
300
What capacity code is used for a PCP office visit
What is PP
300
The product code for a stand alone vision plan
What is V
300
The benefit class that typically covers crowns, bridges & dentures
What is Class III
400
What is a benefit package
What is assigned to the member and identifies the plan benefits
400
While on the CL1032/CL1033 what function key is used to review pricing from the ppo network
What is F12
400
What should always go in the ignore provider discount field on the F12-repricing screen?
What is Y
400
The default place of service code for dental claims
What is DD
400
The rule that states we cannot allow replacement of a dental prosthetic within 5 years of placement
What is the 5 year replacement rule
500
What is a capacity code
What is 2-character code that designates whether a claim will pay at the in or out of network level
500
Explain how you would look up R&C for a code
What is dummy claim number in the CL1032, F24 and F1 (MDR) F5 (HIAA)
500
How do you add additional diagnosis codes
What is From CL1032, F24, F8
500
The default diagnosis code for prescription claims
What is RX
500
A fake tooth that is part of a denture or bridge is called what
What is a pontic
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