WorksheetsInsurance Verification Week 2 Prep Quiz
Total questions: 10
Worksheet time: 5mins
___________ is the amount you pay to share the cost of covered services after your deductible has been paid. The rate is usually a percentage.
Deductible
Coinsurance
MOOP
Copay
Which states are affected by the Synapse process? Click all that apply. (2 states)
TN
NC
GA
WA
From the options below, which plan pays Part B Deductible?
Plan N
Plan G
Plan B
Plan C
True or False: Authorization is required for Type 1 and Type 2 for Aetna Medicare Advantage plans for CGM products.
True
False
If patient has 2ndary Plan which is MCR Supp Plan F and has MCR Ded Balance of 200. How much should be the patient's responsibility?
FULL COST UNTIL MCR DED MET THEN $0
$0 Copay
20% COINS
If the Secondary Insurance is Medicaid California, where will you get the details for your MC Comment?
Availity
Medi-cal Website
Experian
Zirmed
Which from the options below is a type of Medicaid program that will cover PART B premiums only. Select all that apply. (2 answers)
QMB
SLMB
QI
QDWI
What is the name of the document we use to check if we are contracted with the secondary Medicaid?
One Note
Medicaid Fee Schedule
Synapse Lookup Tool
Medicaid Paid 2021
To whom should we route the events with Therapy Type: Insulin?
Adrianna Lopez
Devonna Martin
Karina Rivas
Edgar Cuevas
What is the Rx Group# to use when coding if the secondary plan is Blue Shield Federal and the pharmacy on stamp shows inactive?
We should not code Rx because it is inactive on Medicare stamp
65006500
DODA
