Review Day 1

Review Day 1

Assessment

Assessment

Created by

Edward Bagsik

Business

Professional Development

6 plays

Medium

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6 questions

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1.

MULTIPLE CHOICE

10 sec • 1 pt

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.

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.