WL Quiz 3

PG&E is a special type of PPO plan in California. What's the meaning of PG&E?

• Pacific Gas and Electricity

• Pacific Gas and Electron

• Pacific Gas and Electric

• Pacific Gas and Ecosystem

Advise Medical Records are needed if no auth is required for the code. If the modifier suspend/deny is?

• Obsolete

• MRU

• Blank

• All of the above

What link you will use to check if the code is valid and billable?

• CU Care Management Matrix

• EAPR

• Lookup Code

• None of the above

If deductible does not apply but with copay and coinsurance. What information you need to quote to the provider?

• Deductible,

  Out of Pocket

  and Lifetime Maximum

• Out of Pocket and Lifetime Maximum

• Out of Pocket Only

• Lifetime Maximum Only

If the procedure is listed, authorization will be required from CU Health Plan authorization dept. You can also refer to the CU Care Management Matrix for specific medical services for authorization. What information you can provide to your provider?

• Phone Number

• Fax Number

• Email Address

• All of the above