Show:
Exam
Materials
Medical
Claims
MAGIC
100
The age that members are eligible for routine vision exams
What is under 21?
100
The age that members are eligible for routine vision materials
What is under 21?
100
These types of lenses may only be covered if they are medically necessary.
What are bifocal and trifocal?
100
Timely filing period
What is 12 months?
100
Use the ________ _______ as soon as you hear it
What is customer's name?
200
Copay amount for routine vision exam.
What is $0?
200
Copay amount for routine materials
What is $0?
200
Add-on that may only be covered if medically necessary
What is polycarbonate?
200
This type of documentation must be submitted along with the claim to support medical necessity as applicable.
What is medical records?
200
Tell the customer you will
What is help?
300
Regardless of the final diagnosis, a member who presents for an exam with no complaint must be reported as
What is routine exam?
300
Frame selection that members may choose from
What is standard Medicaid selection?
300
This type of frame may only be covered if medically necessary
What are deluxe frames?
300
The code for ____________ must be filed seperately from the routine vision exam
What is refraction (92015)?
300
Use ___ not ____ when appropriate
What are: I, we?
400
Frequency that eligible members are able to receive a routine vision exam.
What is once per calendar year?
400
Contact lenses are only covered when
What is medically necessary?
400
The age at which members may receive medical/surgical services
What is all ages?
400
All claims for medically necessary eye care services and ocular drugs should be directed to _____________
What is OptiCare?
400
Express ____________ or _______________ through words and tone.
What are: empathy, enthusiasm?
500
Members of all ages are eligible for this type of service.
What is medical/surgical?
500
The lab that may be used for frames and lenses
What is Gulf States Optical Laboratory?
500
The following non-emergent CPT codes: 15822, 15823, 67900, 67904, and 67908 require ______________
What is pre-certification?
500
True or False: Members may go to an Out-of-Network provider and submit a claim for reimbursement.
What is False?
500
End with a
What is MAGIC phrase?