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