CAS
Benefits
Dual
100

Based on memory: Provided the order in which you enter CAS manually.

First: MRI screen

Second: MDI screen

Last: MHI screen

100

Based on mentor: What is the mentor document that you will use to explain Ambulance services claims?

Ambulance claims and exception overview
100

Based on mentor: How would you explain how dual eligibility works? 

Dual eligibility member overview

200

Based on mentor: What is the MICRO DT description in the MRI screen. 

Date of the most recent history purges performed on the member. 

200

Based on mentor: Urgent care centers help with what type of treatment? 

For minor and moderate illnesses and injuries, without an appointment at an affordable rate, by doctors, nurses and other medical professionals. 

200

based on mentor: What are the diagnosed condition that qualifies a member for a CCSNP?

Chronic condition special needs plan overview medicare

300

Based on mentor: What is the CLM filed in the DMI detail screen

CAS claim number

300

Based on mentor: What are the benefits members may receive if they have the PERSONAL HOME CARE SERVICE. 

Personal home care services overview.

300

Based in mentor: What's is the Classification and intent for an incomplete application call?

Chronic condition special needs plan overview medicare.

400

Based on mentor: What is the OOA description in the MHI screen?

a one-position code which indicates the service is out of area.

400

Based on mentor: What are hospice covered services?

Skilled nursing care, physician services, social work, counseling, home healthcare, short-term inpatient or respite care, medical appliances etc...

400

Based on mentor: What is the deeming grace period for dual members to recover dual eligibility? 

Dual eligibility member overview

500

Based on mentor: What is the DIA description in the MDI screen?

The diagnosis code.
500

Based on memory: Does home health care requires an authorization? 

Yes.

500

Based in mentor: What are the states that provides institutionalized special needs plans?

Institutionalized special needs plan overview.