
ISG HMO Quiz
Quiz
•
Other
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Professional Development
•
Practice Problem
•
Medium
Kim Turner
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15 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
On the ISG Resource Guide what is the phone number for CA (SEB)?
855-383-7247
855-453-7031
800-300-1506
800-274-7767
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
On the ISG Resource Guide what tab provide the mailing address by state for claims?
Mainframe
Addresses
Useful Links
Templates
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What does the claims reject code RAUOHO mean?
HMO Requires authorization from the PMG
Condition not covered for the provider type
Misrouted claim
Applies to medical visit deductible
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
On the ISG resource guide, where can you go to find the OONR template?
On Demand EOB & Transcentra
Alpha prefix
Template
Dental
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
Life Policy calls are handled in Member Services
True
False
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
All company codes should be sent to E&B as a AB2470
True
False
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
What tab is the link to COVID 19 information and FAQ?
Pharmacy
Enrollment Codes
Useful Links
AEG (Empowerment Guidelines)
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