MSC All Inclusive Review

________ is the money the insurance company pays the health care provider for medical services to you if you become ill or injured.

For claim 3343035BH0000, what is the procedure code for line 8?

Members with a ___ plan cannot make a premium payment by credit card

• U65

• SCHIP

• O65

• Grandfathered

A claim that cannot be automatically processed by the system (AMMS) will be coded with which claim status?

• Rejected

• Denied

• Approved

• Deferred

True/False: Prior authorization is designed to ensure a service or drug is safe, effective, and medically necessary.

• True

• False

When researching a claim related issue, what call-up can a CSA use to view any previous notes another CSA has entered pertaining to the claim issue in question?

• SEIN

• INFP

• RMIH

• RMHI

On an ___ plan, dependents added between the ages of 32 days and 26 years old cannot be added.

What plan offers additional health services and discounts to existing Medicare Supplement members?

• Blue365 Deals

• MedAdvantage

• Plus Endorsement

• TruHearing

Sub ID 249716273, is undergoing chemotherapy and wants to know will a Penguin Cold Cap be a covered benefit. Where do locate the information?

Which Medicare Supplement Plans covers the Medicare Part B dedctuble?

• Plan F, HDHP Plan F, and Plan C

• Plan F, HDHP Plan G, and Plan C

• Plans C, Plan G, Plan F

• Plan C, Plan, D, HDHP F