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All About Benefits

Total questions: 10

Worksheet time: 14mins

Name
Class
Date
1.

For individual plans, if both Deductible and Out of pocket are Embedded what do we need to quote?

a)

Quote both Individual and Family Deductible and Out of Pocket

b)

Quote Individual and Family Out of pocket

c)

Quote Individual Deductible and Out of Pocket

d)

Quote Individual Deductible

2.

For Family plans, If the Deductible is Non Embedded and Out of Pocket is Embedded, what do we need to quote?

a)

Quote Individual and Family Deductible and Out of Pocket

b)

Quote Family for Deductible. Individual and Family for Out of Pocket

c)

Quote Family Deductible and Out of Pocket

d)

Quote Individual Deductible and Out of Pocket.

3.

For Family plans, If both Deductible and Out of Pocket are Non Embedded what do we need to quote?

a)

Quote individual Deductible and Out of Pocket

b)

Quote Individual and Family for Deductible and Out of Pocket

c)

Quote Family Deductible and Out of Pocket

d)

Quote Individual Deductible. Family Deductible and Out of Pocket

4.

Using NLS, what's the correct header?

CPT/PROCEDURE CODE: 58558

DIAGNOSIS CODE: NA

PROVIDER'S STATUS: PAR

PLACE OF SERVICE: OFFICE

TYPE OF BILLING: PROFESSIONAL

a)

Ambulatory Surgery Center

b)

Surgery Office Professional

c)

Surgery Office Facility

d)

Surgery Ambulatory Surgery CN Professional

5.

What's the coinsurance?

a)

50%

b)

60%

c)

40%

d)

70%

6.

Providers that are contracted or has a contract with Anthem.

a)

Participating Providers

b)

Out of Network Providers

c)

Non Participating Providers

7.

They are providers who doesn't have a contract with anthem.

a)

Participating Providers

b)

Non Participating Providers

c)

In Network Providers

8.

Using Benefit Overview, does Deductible applies in the picture shown?

a)

No, Deductible does not apply.

b)

Yes, Deductible applies.

9.

What's the Coinsurance?

a)

20%

b)

30%

c)

No Coinsurance

d)

40%

10.

What are the Probing Questions for Benefit Inquiry?

4 lines