Letters

Letters

Assessment

Flashcard

English

12th Grade

Hard

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15 questions

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1.

FLASHCARD QUESTION

Front

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

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.

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