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Worksheetsscenario W023149748
Total questions: 10
Worksheet time: 50mins
Melanie is calling you to order an ID card. Which tab and button would you click in ASD to help her
Member Tab > member preferences
Benefits tab > Plan remarks
Plan Tab > ID Card Request
Summary Tab > Accumulators
Before you order the ID card, what must you verify
phone number
address
member's social
if they want it in paper or plastic mode
Melanie wants to go to a dermatologist, what is her benefit?
80% after deductible
100% after $25.00 Copay
Not covered
100% after $50.00 copay
Find her the closest dermatologist. What is the name of the first provider you find
Alfred Hockley
Eloise Atkinson-Garza
Chad Hivnor
Dermatology Associates
Is Dr. Atkinson-garza accepting new patients
yes
no
I don't know
what is Dr. Atkinson's Phone number
2104904795
2104904661
2108675309
21012345678
While she has you on the phone, Melanie wants to know why you denied the claim for DOS 08/05/19
We didn't feel like paying it then
There is no precert on file because she used an out of network provider
There isn't a denied claim for that day
Do we have a precert on file for DOS 08/05/2019?
yes
no
will Melanie be then responsible for these charges from 08/05/2019?
possibly
Of course not
No, put it on my tab
yes
Since she has you on the phone, she wants to know if she has met her deductible for the year
Yes, she has met her $750.00 deductible
Yes , she has met her $4500.00 deductible
No, she has not met her $750.00 deductible
No, she has not met her $4500.00 deductible
