DCMS
Client Specifics
Claim Handling
Acronyms
100

On which tab can you find the ER contrib %

Coverage Screen

100

For Cesar's do we rely on the eligibility feed or the cedric roll over sheet to confirm their salary?

The EL feed

100

What steps must you take when a claimant returns to work part-time?

Recode claim partial disk

100

What does APS stand for?

Attending Physician Statement

200

On what day should you hit the toll button in DCMS?

Day 46

200

For what reason has PayPal requested that we notify them?

RTW notifications

200

If a claimant had prior coverage and went OOW within 1 year of Prudential's coverage what review should be completed.

COC

200

What does COLA stand for?

Cost Of Living Adjustment 

300

What would be the start date of the SSDB offset if the DOD is 8-20-2025?

2-1-2026

300

What is the EP for Ericsson Inc?

The later of 180 days and end of STD.

300

True or False: If a 0% ER contrib and the claimant has been paying premiums for greater than 3 months we should still complete a EOI review.

False

300

What is the Medical Diagnosis for TKR?

Total Knee Replacement 

400

On which tab can you find the claimant's name, address, and LDW?

Claim Screen

400

Does RentoKil receive ER letter?

No, and do not create one

400

Daily Double: What steps must you take if you receive a threat while on the call with a claimant?

1.) Advise claimant to refrain from making threatening statements

2.) Review address and phone number

3.) Notify your TL

4.) Contact non-urgent local police and send email to Global Security

400

What does DX stand for?

Diagnosis 

500

Which button should you click to open PDR?

Open plan

500

Which one of our clients is situs in CA?

Applied Materials 

500

If a claimant lives in NJ but the policy is situs in CA what would be the POC period for this claim?

90 days

500

What does EOB stand for?

Explanation of Benefits 

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