This program enables member of obtaining health care services while traveling or living in another plan service area to receive the benefits of their control or homeplan contract while accesing.

Review Day 1

Assessment
•
Edward Bagsik
•
Business
•
Professional Development
•
6 plays
•
Medium
Student preview

6 questions
Show all answers
1.
MULTIPLE CHOICE
10 sec • 1 pt
2.
MULTIPLE CHOICE
10 sec • 1 pt
A 17 digit unique number assigned when the claim enters the ITS process.
3.
MULTIPLE CHOICE
10 sec • 1 pt
Where the member purchased the plan
4.
MULTIPLE CHOICE
10 sec • 1 pt
Where the service was rendered
5.
MULTIPLE CHOICE
10 sec • 1 pt
Tool used to determine the correct processing platform based on date of service and the policy prefix.
6.
MULTIPLE CHOICE
10 sec • 1 pt
The first 3 character of the member's ID and the key element for the correct routing and processing of claims.
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