GMS Sustain: Day 3 AM Review

Reorder the following to correctly follow the Arch for the first five steps. Note: the final step (Engagement Opportunities) is not listed.

• Notification card

• Plan Summary card

• Patient card

• Coordination of Benefits card

• Restrictions & Authorizations card

Which form would a facility use to submit services rendered?

• CS1500 Claim Form

• Services Claim Form

• UB Claim Form

• MD Claim Form

Which application would you use to verify claim information submitted for an "X" case claim?

• Claims Enterprise Frontend (CFE)

• Emmulators

• CMMouse

• BlueCard

In the lifecycle of an electronic claim, where does the claim go after CFE?

• BlueCard

• BlueChip

• ACE

• IMAGE Plus

T/F Does the Place of Treatment impact member benefits?

• True

• False

From ACE, the IRC can be located in the....

• Patient Card

• Benefits Summary

• Service Line Information

• Rendering Provider Information

To look up an IRC in Claims Gui, first you will need to...

• Look up the member in ACE

• View the service line

• Open IMAGE Plus

• Launch the Emmulators