MSC Cumulative

What is the decision of Precerticertifcation number 2403809002727?

• Approved

• Denied

True or False: Increases due to age occur in 10-year increments.

• True

• False

What is the ridered condition that claim 30940BN010000 is being denied for?

Claim number 404606WDQ0000, what is the patient responsibility?

• $349.00

• $141.92

10001426070Q an agent calls in and needs to add a dependent. How would they add a dependent for this Small Group policy?

• You connect them over to SMG for assistance. They speak with agents there

• You inform them that dependents must be added via the employer

• You provide the number to marketing and connect them over

What does 02 benefit type indicate on a claim?

• Claim processed with INN benefits

• Claim processed with OON benefits

• Claim processed with standard benefits

• Claim processed with Medicare benefits

What is the name of the fitness benefit that allows access to gyms nationwide and members receive 30 credits monthly?

True or False: Members with a Plus Endorsement Plan will have a separate ID number, from their Medicare Supplement plan ID card.

• False

• True

All agent/group leader calls related to Small Group, should be connected to

Sub ID: 248570737 If the member goes to an in-network ENT specialist for a chronic sore throat, will he pay a copayment?  If yes, how much will the copayment be?