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Host Quiz

Total questions: 5

Worksheet time: 60secs

Name
Class
Date
1.

The following are out of scope inquiry for West Host. Except?

a)

Benefits and Eligibility

b)

Medicare Crossover

c)

Claims rendered in CACONV

d)

Member Call

2.

Enables Plans to communicate with each other regarding exceptions that arise during claims processing and requires a response from another Plan to complete the processing of a claim or adjustment.

a)

Job Aid Guide

b)

Blue Card

c)

General Inquiry

d)

Info Message

3.

A 17 digit unique number assigned when the claim enters the ITS process.

a)

Claim Number

b)

DCN Number

c)

Service Request Number

d)

SCCF Number

4.

CMS1500 Form is what the provider used for submitting?

a)

Facility Claim

b)

Professional Claim

c)

Out of State Claim

d)

Non Anthem Claim

5.

The following is included in the Submission Format created by the Host Plan . except?

a)

Other Carrier Payments

b)

Provider Data

c)

Check Amount

d)

Host Plan Allowance