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Remember the Member Please and Thank You Claims R Us Networking Help! I need a Dentist!
100
What is A-01
Fast Path Option to View Member Information
100
What are Soft Skills
Having these skills will help you have better conversations, work well with managers or co-workers and enjoy or work environment.
100
What is A-02
Fast Path option to view claim
100
What is PPO
This network yields the best saving for the member
100
What is Doctor Inquiry
Action Tab used to view what the Dentist submitted for a claim
200
What is Family
This Action Tab is used to review the family detail information (to include addresses and eligibility information)
200
What is True
True or False
Attitude, team work and positivity are examples of soft skills?
200
What is History
Action Tab used to view full member history
200
What is Fixed Co Pay
The term used for FCP
200
What is A-23
Fast Path used for Dentist search by TIN
300
What is F10
This Action is used to fold and unfold member information
300
What is Customer Service
The ability to communicate well with customers to better understand the customers needs and address them effectively.
300
What is Doctor Inquiry
Action Tab used that allows you ti view claim history
300
What is Delta Care
This is the national term used for HMO network
300
What is Status
Where would you look to determine if a provider is active
400
What is F11
Action Action is used to to view member numeric search
400
What is False
True or False
When a customer calls and is upset with something in regards to their plan its your fault.
400
What is Claim Inquiry Screen
Action Tab used to view detailed information regarding the claim
400
What is Out of Network
The term used for OON
400
What is A-21
Fast Path used for local Dentist search
500
What is a Red Asterisk
A way to see if member is a delta dental employee or vision policy
500
What is True
True or False
Understanding right from wrong will help aid in the decision we make?
500
What is In For Pay
The term used IFP
500
What is $200
This is the amount of a procedure we strongly suggest a pre-determination to be done
500
What is an E Form
If provider not listed in in the local what needs to be sent to Provider Relations




Week One

Press F11 for full screen mode




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