Provider in ASPEN 2

Which of the following is NOT a code you can look up in the Lookup code tool in ASPEN.

• Place of Service Code

• Procedure Code

• Facility Based Revenue Code

• Procedure Modifier Code

The Inter-Plan Messaging system is also known as 

• BlueCard

• BlueAccess

• BlueSquared

Which task in ASPEN will you use to look to see if an Authorization is on file?

• Claims Task

• Member Limited Liability Task

• Search / Update UM Authorization Task

• Eligibility and Benefits Task

The UB-04 form is used to submit _______ claims.

• Provider

• Facility

• Pharmacy

• DME

Wellpoint Content Framework (WCF) is used to . . . .

• View checks

• Send Provider Remits

• View the claim image

• Send letters

Per ERISA claims regulations, when a claim is mailed back for additional information, the member or provider has how many calendar days to return the information?

• 60

• 30

• 25

• 45

Medicare part ___ covers professional treatment.

• A

• B

• C

• D

Which of these is NOT needed to locate a check for the provider?

• Claim Number

• Check Number

• Bank Account number

True or False. Contiguous County means counties whose borders touch on one side of the state.

• True

• False

Ensuring that insurance claims are not paid by multiple insurance companies is called. . .

• Embedded

• Limited Liability

• Coordination of Benefits