So you Think you can Give Benefits?
History/Searches
Trainer's Choice
OneNote
100

020902598 -What coverage does this policy have? Dep? Family? 

EE - Only as of 08-01-2024

100

011184545 - What is the hist for Rayden L?

last exam 02232024 - Last clean: 02232024 - Btwing: 02232024

100

What is a T-Record? 

A tier record is a 2 tier plan, we will need to hit F6 if in network to provide correct benefits. 

100

Where can i find the exact hit in ON that states if we accept assignment of benefits?

Phone Ref Docs - Phone tips - Bottom

200

020902598 What is the deductible? 

50 A BM 

200

( mem ID 000 61 4408 Rita Knight) - find out if provider 202 96 2026 – Mark Newey 938 University Place, Clearfiled, UT 84015 is in network  

Yes they are 

200

017765144 - Does this plan have a waiting period? if yes why? if no why? 

No (shift F10 option 8) - Amalgams and Comps 6 month waiting period fulfilled 

200

Where can i find the script for oral surgery? 

Phone Ref docs - Scripts

300

020902598 does this plan have carry over? 

no

300

500463283 Karen Lipham – elig for FMX, Remaining max, perio history?

elig for FMX - NO (1 in 5 years), Remaining max - N/A no max , perio history - None

300

010-93-7488  - What is special regarding Select services on this plan? 

Select services are on a schedule benefit. Each of these services is $250 per Remarks

300

Where can i find information regarding the 4341 and 4342 if they can be done on the same day? 

Phone Ref docs Phone tips 

400

020902598 - What is the coverage for fillings? 

All teeth get composite, Molar teeth get the alt-ben of Amalgam

400

017366520 - Has Kat Friesen used up their maximum on this Sensible Choice plan? 

has not used benefit as of this ben period 

400

017765144 - last exam date? are they eligible for an exam this year? 

06012022 - yes

400

4381 how many sites per quadrant? 

2 sides per quadrant - phone ref docs phone tips 

500

020902598 - Does this plan have a MTC?

Yes there is a MTC

500

01-23-789-0410-0 – Are we currently making ortho payments?

OWAT - yes

500

Walk me through the process on how to fax documents from the system

FAXING documents from system 

  • Open Policy 

  • Item to be faxed in Image Window 

  • Alt J 

  • Update & Fill out Screen 

    Remove Last Name 

    Update email to group@employeebenefitservice.com by doing a shift f12 to choose 

  • Name of recipient 

  • Fax Number 

  • F3 to Save 

  • Answer system prompts 

    Y to fax destination number 

    May need to select document to be faxed again 

    Y to Send Fax 

    N to index cover page 

500

Where can i find information on Silent partners and how to transfer them?

using Phone Software - Silent Partners and Transfers