Day 3 Review

What system do we access if we need to view the actual claim image?

• WCF

• MARS

• ACMP

• Member360

Smart Help/Smart Search can be used to view a member's spending account information.

• True

• False

Can you send a claim to be adjusted without a second-level review being completed first?

• Yes

• No

Which task/tab do we go into to view a member's accumulations for the year?

• Limited Liability

• Manage Claims

• Manage Other Insurance

• Accumulators

Which tab in Solution Central would you find the service location phone number?

• Policy

• Timeline

• Interactions

• Group

If a claim has a rejection code of RMCJ00, what is needed in order to process the claim?

• Medical Records

• The COB to be updated

• Updated procedure code

• Updated modifier

Using Lookup Code, which of these descriptions will show that the cpt code is preventive with only specific diagnosis codes?

• HCR PREVENTIVE W/ALL DX

• HCR PREVENTIVE DX SPECIFIC

• Covered at 100%

• Prior Auth Pass

What is the greatest movie of all time?