Dental Jeopardy

Facts Are Facts

100

Stand Alone Dental CPC

Begin with a "4" 

200

Test group 1

Dental Blue Preventative Plan 

300

UR 0024 through UR 0027

2021 ACA CDT Guide 

400

4 types of services 

Preventative - Group 1

Basic Benefit - Group 2

Major Benefit - Group 3

Orthodontic Services 

500

Define Tooth Surface descriptor FACIAL

Closest to the face 

Claims Are Where It's At

100

E236 Message Code 

member has not satisfied his/her waiting period

200

E234 edit 

pend when claim is not showing CT 015

300

F131  message

Tooth surface required

400

OS

What is the orthodontia segment

500

What UR are we testing as a pilot 

UR 0001

It's All About The Teeth

100

What chart to we use to tooth numbering

Universal

200

Teeth identified by a number

Adult Teeth

300

LM

Lower Mouth

400

32

The number of adult teeth 

500

Name 2 anterior teeth

6 - 11

22 - 27

Misc

100

EDB

What is the Enhanced Dental Benefit

200

Column that captures your BLID number on the manual test plan.

LABEL

300

Name the members with Total health (EDB) qualifiers

Susan

Janice

400

In Nasco how can you validate the Total Health Qualifier for a member 

EM subscriber ID

QUAL segment for the member

500

How many teeth appear in the Welcome to Dental Testing power point presentation?

7

Dental Guru

100

How many families for dental testing and how many members within each family 

2 families

7 members within each family contract ID

200

You saved this to your desktop when importing your manual test plan 

Import Configuration file 

300

UR 0001 & UR 0028

2021 CDT GUIDE

400

Medical Plan that offers Dental benefits as a rider 

Embedded Dental Plan 

500

3 fields you can find in the dental segment (DE)

TN

TSUR

ACQ