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Review Dental Claim Refresher

Authored by Trainer Jayvee

Specialty

Professional Development

Used 7+ times

Review Dental Claim Refresher
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6 questions

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1.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Q: What intent allows you to review the dental claims and provide claim status to members without the need to call the United Heathcare Dental?

Review Prescription Claim History

Review Medical Claim History

Review Dental Claim History

2.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Dental Claim - These details tell the tooth and location on the tooth in which the service was performed.

Surface Detail -> Tooth Surface Code

Claim Details -> Tooth Surface Code

Service Line Detail -> Tooth Surface Code

3.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

What is the main job aid that advocate should use about dental claims?

Vision Coverage

Dental Coverage - Index

Dental Benefit - Index

4.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Dental Claims issues that cannot be resolved within Maestro. Advocate action?

Cold Transfer to Dental Vendor.

Warm Transfer to Dental Vendor.

Warm Transfer to Telesales.

5.

MULTIPLE CHOICE QUESTION

30 sec • 1 pt

Dental Claims issues that cannot be resolved within Maestro. Advocate action?

Cold Transfer to Dental Vendor.

Warm Transfer to Dental Vendor.

Warm Transfer to Telesales.

6.

MULTIPLE SELECT QUESTION

45 sec • 1 pt

What information should you ask to locate the Dental Claim?

Provider name

Date

Type of claim service

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