What should you do if a claim is not on file while reviewing multiple claims?

Letters

Flashcard
•
English
•
12th Grade
•
Hard
Quizizz Content
FREE Resource
Student preview

15 questions
Show all answers
1.
FLASHCARD QUESTION
Front
Back
Open a second Manage claims task to document the claim not on file.
2.
FLASHCARD QUESTION
Front
Can you send letters from Create Correspondence during an active call?
Back
False
3.
FLASHCARD QUESTION
Front
What company code applies to the DMHC Process?
Back
200C
4.
FLASHCARD QUESTION
Front
What must you do if a member calls looking for a claim that is not on file?
Back
Send the required letter.
5.
FLASHCARD QUESTION
Front
What are the 4 ODG Letters?
Back
1. Contact CoveredCA 2. Missing claim or Need More Info 3. Prior Auth Missing information 4. Contact Employer Group
6.
FLASHCARD QUESTION
Front
What is the purpose of documenting claims not on file?
Back
To ensure accurate record-keeping and follow-up on unresolved claims.
7.
FLASHCARD QUESTION
Front
What is the significance of the company code in the DMHC Process?
Back
It identifies the specific procedures and regulations applicable to that company.
Create a free account and access millions of resources
Similar Resources on Wayground
15 questions
Letters

Flashcard
•
12th Grade
10 questions
Introductions to Claims and Evidence

Flashcard
•
11th Grade
15 questions
2.1-2.3 Claims and Evidence

Flashcard
•
11th Grade
15 questions
Argument Terminology

Flashcard
•
11th Grade
15 questions
2.1-2.3 Claims and Evidence

Flashcard
•
11th Grade
15 questions
Analysing and evaluating evidence

Flashcard
•
University
15 questions
Explanatory Essay

Flashcard
•
11th - 12th Grade
15 questions
Argument Module

Flashcard
•
11th Grade
Popular Resources on Wayground
25 questions
Equations of Circles

Quiz
•
10th - 11th Grade
30 questions
Week 5 Memory Builder 1 (Multiplication and Division Facts)

Quiz
•
9th Grade
33 questions
Unit 3 Summative - Summer School: Immune System

Quiz
•
10th Grade
10 questions
Writing and Identifying Ratios Practice

Quiz
•
5th - 6th Grade
36 questions
Prime and Composite Numbers

Quiz
•
5th Grade
14 questions
Exterior and Interior angles of Polygons

Quiz
•
8th Grade
37 questions
Camp Re-cap Week 1 (no regression)

Quiz
•
9th - 12th Grade
46 questions
Biology Semester 1 Review

Quiz
•
10th Grade