iLead
My SME
Coding/Billing
Miscellaneous
Cosmos/UFE
100
What tab on the would you find the ICD-9 code
What is claims details screen.
100
How do you set a favorite in My SME?
What is click on the document and then click on the 'add to favorites' button.
100
What does UB stand for?
What is Universal Billing
100
What system to you use to find the description of a CPT Code?
What is KL
100
UFE is used for:
What is to look for a claim that is not in showing up in IDT/iLead.
200
Where in iLead can you find the work queues you created?
What is MY Work Space.
200
5. Where would you go to find how long a clinic has to submit a claim?
What is Timely Filing 03042010 v7 – determine east, west, plan – look under division code.
200
What is a CPT code used for?
What is a description of a service provided by a physician.
200
What is EDSS and IDARS used for?
What is EDSS is used to view electronic claims and IDARS is used for viewing paper claims sent to us.
200
What do you use CL 450 for?
What is Benefit Coverage Detail
300
2.The division code is also known as the _ _ _ _ code in Ilead
What is Site.
300
What wizard do you use to know where to route an issue?
What is wizards/work queue and ORS routing.
300
True or False. A revenue code is billed on a HICF form.
What is False. It is used on a UB Form.
300
What is our Payor ID?
What is 87726.
300
What do you use CL 160 for?
What is this gives year to date OOP information.
400
Where would you go to find information on how to handle a defect in iLEad?
What is my sme, iLead system process job aid.
400
Where would a provider submit a claim for a member with the site RAM?
What is PO Box 31362 Salt Lake City, UT 84131-0362
400
On a UB form, what box number is the ICD9-Code found on?
What is Box 69.
400
How do you properly modify the Image ID Number so as to enter the proper number into EDSS to locate the claims image?
What is Drop the final 2 zeroes and move the front 3 numbers to the end.
400
What do you use CL 147 for?
What is to view member limited service records.
500
List the tabs under Inquiry Console in iLead
What is Search, Summary, Member Info, Eligibility, Benefits, Claims, Pharmacy, Provider, Billing, Enrollment, Fulfillment, Service Request, KM, Reporting, Notifications
500
1.When a member is calling asking about a vendor and the phone # is not located in Ilead where would you find it?
What is Contacts wizard – Phone #’s- Vendor – Choose Type of vendor.
500
What type of code is L3000?
What is HCPCS
500
Where in IDT can you find the check number?
What is Payment/Provider tab.
500
What do you use EP329 for?
What is to view member notes.