Facets
What tab would we go to in a claim to find the received date?
Claim information
What benefit would code 93005 apply to?
EKG- Lab Benefit
What program do we check if a PA is required for a cpt code?
Auth Grid
What benefit would you quote for code L3000?
Foot Orthotics
Name all 3 trainers
Ashlee
Miranda
Courtney
Where would we go to find out if we administer COBRA or PSA benefits?
Transfer --> Group --> Related Entities
What are the exclusions for MT mental health?
Where would we find pharmacy claims?
Caremark
What would you quote if a member is having knee surgery?
Outpatient Hospital/ACS
Surgeon Outpatient
Anesthesia Outpatient
What is the name given to Indian food cooked over charcoal in a clay oven?
Tandoori
Where would we find if we sent an MSQ to a member?
Related Notes ---> Member Notes
What does NNQ stand for?
Noted not quoted
Where can members view standard benefits/EOBs/claims?
InTouch
Is Botox for migraine headaches covered?
Yes with an approved PA
Which TL was born in Hawaii?
Arthur
FRED Notes
Is routine foot care covered?
Only for a diagnosis of diabetes
What program holds EOP's/EOB's?
OnBase
Is an office visit with an LMT covered?
No
When Walt Disney was a child, which character did he play in his school function?
Peter Pan
Where would we go to get a benefit book in Facets?
Visual BSDL
Is vision hardware for medical covered for dx Ortho-K?
No
Where are appeals held?
CT Viewer
What benefit do we quoted for code 90901?
Biofeedback
Who is the TL for coverage advisors?
Brandy Bolduc