Work Ethics
How many minutes are you allowed to clock in before your start time?
10 minutes prior
What code(s) has a frequency where all 4 quads can be done on the same visit?
ADA code 4341 4342
What is the AHT for precert calls?
330
Who gets the 10 minute limit
TPA's
Who on the team has a cheerful personality
Tator
Does leaving early affect my adherence or compliance?
Adherence
How many months of history does the faxback show
The last 36 months (3 years)
What is the rider for Genetic Testing?
GNT OR GNR
Who is the colonoscopy TPA
Eza
What system do we use to take our calls?
CIS (Customer Information System)
Swearing, profanity, or cursing
TRUE OR FALSE
Contract states - For ALL out of state dentist benefits are based off the allowed amount. We will quote both INN and OON benefits?
FALSE
What is the three main folders/categories in BOL do we find auth requirements?
EXPP EXCL AND PACP
What is the name of the TPA that calls the most?
Francis
Who is your Triple AAA when you are on a road block on calls?
The Assist Line
DAILY DOUBLE
When a coworker is struggling with a task, offering your assistance without being asked what kind of act is this?
Taking the Inistiative
In totals to determine ortho lifetime used amount. How would you find the lifetime max total for Ortho?
Click reset
change to Lifetime
click Enter
TRUE OR FALSE
Do we verify the provider's address if the provider's info auto populates?
FALSE!!!!
Who gets booted instantly?
AI Caller's
What is the name of the trainer sent from BCBSAL
Danielle
DAILY DOUBLE
What is our BCBSAL Slogan
More to come
Trust the process
TRUE OR FALSE
Does all BCBSAL policies have Endodontics under Basic?
FALSE
What do we document in the INQ if the providers info is not in CIS?
document the following >
Tax ID OR NPI #
Provider's name
Specialty
Phone #
City and State
What does TPA stand for?
Third Party Affiliates/ Administrator
Who is the CEO of Alta?
Jim Beré