Copy and Edit

Breakdown Quiz

Description

Quiz on Breakdown Quiz, created by anewberry on 18/03/2015.
anewberry
Quiz by anewberry, updated more than 1 year ago
anewberry
Created by anewberry about 9 years ago
7
0
0

Resource summary

Question 1

Question
What is a breakdown
Answer
  • The patients dental benefits
  • The patients dental history
  • The patients treatment plan

Question 2

Question
Can you use lower case letters in QSI?
Answer
  • No
  • Yes

Question 3

Question
How do you search for the insurance address when creating a new plan?
Answer
  • Type the insurance company name
  • Type + then the po box number
  • Enter the insurance company telephone number

Question 4

Question
What fee schedule does United Health Care (UHC) use?
Answer
  • Dentemax
  • DBP
  • Careington
  • United Health Care

Question 5

Question
What does FCL stand for?
Answer
  • Florida Central Life
  • Fee Change List
  • Florida Combined Life

Question 6

Question
When creating a new plan and the patient has an old insurance plan already attached to their account, what do you do?
Answer
  • 999 the old plan
  • Cancel the old plan, use the previous days date and then attach the new plan
  • Replace the old plan and then attach the new plan

Question 7

Question
Who fills out the breakdown forms?
Answer
  • The insurance company
  • The breakdown department
  • The dental office

Question 8

Question
What is Adj Gen Svc?
Answer
  • Adjudication Services
  • Sedation
  • General Services

Question 9

Question
What two fee schedules are added to line 11 (Plan Fee Schd) when creating a new PPO plan?
Answer
  • INS and Patient
  • INS and INS
  • INS and UCR

Question 10

Question
What does UCR stand for?
Answer
  • Usual Chart Record
  • Usual Customary Rate
  • United Core Research

Question 11

Question
If there is no deductible, what is entered on line 15 ?
Answer
  • Leave Blank
  • U = Unlimited
  • Zero (0)

Question 12

Question
If a percentage is given for implants, but the breakdown states STR, what should you do? Example: Implants 50%-STR
Answer
  • Add the percentage on line 8
  • Do not add the percentage on line 8, but include in your comments.
  • Do not add the percentage or include in your comments.

Question 13

Question
What does STR stand for?
Answer
  • Subject to Review
  • Standard Treatment Review
  • Standard Treatment Records

Question 14

Question
It is not necessary to include orthodontics (line 11) on line 18 if blank
Answer
  • True
  • False

Question 15

Question
What is the Max Age Child?
Answer
  • 18
  • 21
  • 26

Question 16

Question
4910 is the code for what dental procedure?
Answer
  • Prophy
  • Perio Maintenance
  • Scaling

Question 17

Question
FMX, PANO and BWX are all what?
Answer
  • Type of X-Ray
  • Cleaning
  • Sedation

Question 18

Question
4341 is the code for what dental procedure?
Answer
  • Sealants
  • Fluoride
  • Scaling

Question 19

Question
What date do you use for the Rev Date on line 4?
Answer
  • The date you are creating or updating the plan. You can enter "T" for today.
  • The previous days date. You can enter "Y" for yesterday.
  • Leave Blank

Question 20

Question
What goes on line 19 for the Coverage Flag?
Answer
  • Your initials
  • The office number (located in the top left corner)
  • Your initials and the office number

Question 21

Question
What goes on line 37 "Max $ Sched"?
Answer
  • The maximum amount allowed by insurance
  • Leave blank
  • PPO

Question 22

Question
What goes on line 3 "Plan Type"
Answer
  • R
  • 3
  • 0

Question 23

Question
Perio Recall is also called
Answer
  • Perio Maintenance
  • Prophy
  • Debridement

Question 24

Question
If the breakdown gives a percentage for implants, but says STR, what should you do?
Answer
  • Do not include in comments
  • Do not enter the percentage, but include in your comments. Example: Implants 50%-STR
  • Enter the percentage, but do not include in the comments

Question 25

Question
If a max age is given for orthodontics, you should include this in your comments
Answer
  • True
  • False

Question 26

Question
If there is no deductible, what goes on line 18?
Answer
  • Nothing
  • 16 only
  • Everything

Question 27

Question
The group number does not need to go on line 1 (Plan)
Answer
  • True
  • False

Question 28

Question
All insurance fee schedules are the same
Answer
  • True
  • False

Question 29

Question
If the "Calendar Year" is circled on the breakdown, what month is used?
Answer
  • March
  • January
  • December

Question 30

Question
Where is the Toco Hills office located?
Answer
  • Florida
  • Georgia
  • Pennsylvania

Question 31

Question
Please refer to page 1 of the sample breakdowns to answer the following question: What percent should be used for Oral Surgery?
Answer
  • 50%
  • 80%
  • Leave blank
  • 50% and note in the comments "Oral Surgery 50/80% STR"

Question 32

Question
Please refer to page 1 of the sample breakdowns to answer the following question: The Preventative and Diagnostic percentage is 100%.
Answer
  • True
  • False

Question 33

Question
Please refer to page 1 of the sample breakdowns to answer the following question: This plan should be set up using the United Concordia PARNET fee schedule.
Answer
  • True
  • False

Question 34

Question
Please refer to page 2 of the sample breakdowns to answer the following question: The correct numbers on line 16 are...
Answer
  • 16 only
  • 1,2,14,16
  • 1,2,11,14,16
  • 1,2,8,11,14,16

Question 35

Question
Please refer to page 3 of the sample breakdowns to answer the following question: What fee schedule should this plan have attached?
Answer
  • Lincoln PPO
  • Guardian PPO
  • Dentemax PPO
  • The name of the fee schedule was not provided - an email would need to be sent back to the office for specification.
  • Connection PPO

Question 36

Question
Please refer to page 3 of the sample breakdowns to answer the following question: This plan has a 5 year replace clause.
Answer
  • True
  • False

Question 37

Question
Please refer to page 3 of the sample breakdowns to answer the following question: The correct title for this plan is...
Answer
  • A. C. Warehouse #123456
  • A. C. WAREHOUSE #123456
  • AC WAREHOUSE
  • AC WAREHOUSE #123456

Question 38

Question
Please refer to page 4 of the sample breakdowns to answer the following question: We always set up new plans for Metlife Military plans.
Answer
  • True
  • False

Question 39

Question
Please refer to page 4 of the sample breakdowns to answer the following question: The deductible applies to everything because none of the types are circled on the breakdown.
Answer
  • True
  • False

Question 40

Question
Where is the Dunlap office located?
Answer
  • Florida
  • Georgia
  • Pennsylvania
  • Illinois

Question 41

Question
What other offices does the FLINT office share plans with?
Answer
  • Every office
  • No other offices.
  • All other Michigan Offices.

Question 42

Question
What is the office number for Shady Road?
Answer
  • 30
  • 19
  • 9
  • There is not an office named Shady Road.

Question 43

Question
If there are a lot of plans that are similar, it is okay to just make a new plan because that is easier and will take less time.
Answer
  • True
  • False

Question 44

Question
If an office emails the InsPlan email and tells us to update a plan without a breakdown, we just do it because they asked us to.
Answer
  • True
  • False
Show full summary Hide full summary

Want to create your own Quizzes for free with GoConqr? Learn more.

Similar

OCR AS Biology - Lipids
Chris Osmundse
AS-Level Chemistry: Unit 1:The Atom
Daena Targaryen
How to Develop the Time Management Skills Essential to Succeeding in IB Courses
nina.stuer14
GCSE Physics Revision notes
Megan McDonald
Mapas mentales con ExamTime
julii.perci
GCSE AQA Biology 2 Cells & Diffusion
Lilac Potato
GCSE Computing: Hardware
Yasmin F
Test your English grammar skills
Brad Hegarty
French Revolution quiz
Sarah Egan
Navegacion
Adriana Forero
1PR101 2.test - Část 8.
Nikola Truong
Browse Library