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Introductory breakdown quiz

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CBO Breakdown Quiz

CBO Breakdown Quiz

Question 1 of 50

1

What is a breakdown

Select one of the following:

  • The patients dental benefits

  • The patients dental history

  • The patients treatment plan

Explanation

Question 2 of 50

1

Can you use lower case letters in QSI?

Select one of the following:

  • No

  • Yes

Explanation

Question 3 of 50

1

How do you search for the insurance address when creating a new plan?

Select one of the following:

  • Type the insurance company name

  • Type + then the po box number

  • Enter the insurance company telephone number

Explanation

Question 4 of 50

1

What fee schedule does United Health Care (UHC) use?

Select one of the following:

  • Dentemax

  • DBP

  • Careington

  • United Health Care

Explanation

Question 5 of 50

1

What does FCL stand for?

Select one of the following:

  • Florida Central Life

  • Fee Change List

  • Florida Combined Life

Explanation

Question 6 of 50

1

When creating a new plan and the patient has an old insurance plan already attached to their account, what do you do?

Select one of the following:

  • 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

Explanation

Question 7 of 50

1

Who fills out the breakdown forms?

Select one of the following:

  • The insurance company

  • The breakdown department

  • The dental office

Explanation

Question 8 of 50

1

What is Adj Gen Svc?

Select one of the following:

  • Adjudication Services

  • Sedation

  • General Services

Explanation

Question 9 of 50

1

What two fee schedules are added to line 11 (Plan Fee Schd) when creating a new PPO plan?

Select one of the following:

  • INS and Patient

  • INS and INS

  • INS and UCR

Explanation

Question 10 of 50

1

What does UCR stand for?

Select one of the following:

  • Usual Chart Record

  • Usual Customary Rate

  • United Core Research

Explanation

Question 11 of 50

1

If there is no deductible, what is entered on line 15 ?

Select one of the following:

  • Leave Blank

  • U = Unlimited

  • Zero (0)

Explanation

Question 12 of 50

1

If a percentage is given for implants, but the breakdown states STR, what should you do?
Example: Implants 50%-STR

Select one of the following:

  • 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.

Explanation

Question 13 of 50

1

What does STR stand for?

Select one of the following:

  • Subject to Review

  • Standard Treatment Review

  • Standard Treatment Records

Explanation

Question 14 of 50

1

It is not necessary to include orthodontics (line 11) on line 18 if blank

Select one of the following:

  • True
  • False

Explanation

Question 15 of 50

1

What is the Max Age Child?

Select one of the following:

  • 18

  • 21

  • 26

Explanation

Question 16 of 50

1

4910 is the code for what dental procedure?

Select one of the following:

  • Prophy

  • Perio Maintenance

  • Scaling

Explanation

Question 17 of 50

1

FMX, PANO and BWX are all what?

Select one of the following:

  • Type of X-Ray

  • Cleaning

  • Sedation

Explanation

Question 18 of 50

1

4341 is the code for what dental procedure?

Select one of the following:

  • Sealants

  • Fluoride

  • Scaling

Explanation

Question 19 of 50

1

What date do you use for the Rev Date on line 4?

Select one of the following:

  • 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

Explanation

Question 20 of 50

1

What goes on line 19 for the Coverage Flag?

Select one of the following:

  • Your initials

  • The office number (located in the top left corner)

  • Your initials and the office number

Explanation

Question 21 of 50

1

What goes on line 37 "Max $ Sched"?

Select one of the following:

  • The maximum amount allowed by insurance

  • Leave blank

  • PPO

Explanation

Question 22 of 50

1

What goes on line 3 "Plan Type"

Select one of the following:

  • R

  • 3

  • 0

Explanation

Question 23 of 50

1

Perio Recall is also called

Select one of the following:

  • Perio Maintenance

  • Prophy

  • Debridement

Explanation

Question 24 of 50

1

If the breakdown gives a percentage for implants, but says STR, what should you do?

Select one of the following:

  • 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

Explanation

Question 25 of 50

1

If a max age is given for orthodontics, you should include this in your comments

Select one of the following:

  • True
  • False

Explanation

Question 26 of 50

1

If there is no deductible, what goes on line 18?

Select one of the following:

  • Nothing

  • 16 only

  • Everything

Explanation

Question 27 of 50

1

The group number does not need to go on line 1 (Plan)

Select one of the following:

  • True
  • False

Explanation

Question 28 of 50

1

All insurance fee schedules are the same

Select one of the following:

  • True
  • False

Explanation

Question 29 of 50

1

If the "Calendar Year" is circled on the breakdown, what month is used?

Select one of the following:

  • March

  • January

  • December

Explanation

Question 30 of 50

1

Where is the Toco Hills office located?

Select one of the following:

  • Florida

  • Georgia

  • Pennsylvania

Explanation

Question 31 of 50

1

Please refer to page 1 of the sample breakdowns to answer the following question: What percent should be used for Oral Surgery?

Select one of the following:

  • 50%

  • 80%

  • Leave blank

  • 50% and note in the comments "Oral Surgery 50/80% STR"

Explanation

Question 32 of 50

1

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

Select one of the following:

  • True
  • False

Explanation

Question 33 of 50

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 34 of 50

1

Please refer to page 2 of the sample breakdowns to answer the following question: The correct numbers on line 18 are...

Select one or more of the following:

  • 16 only

  • 1,2,14,16

  • 1,2,11,14,16

  • 1,2,8,11,14,16

Explanation

Question 35 of 50

1

Please refer to page 3 of the sample breakdowns to answer the following question: What fee schedule should this plan have attached?

Select one or more of the following:

  • 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

Explanation

Question 36 of 50

1

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

Select one of the following:

  • True
  • False

Explanation

Question 37 of 50

1

Please refer to page 3 of the sample breakdowns to answer the following question: The correct title for this plan is...

Select one of the following:

  • A. C. Warehouse #123456

  • A. C. WAREHOUSE #123456

  • AC WAREHOUSE

  • AC WAREHOUSE #123456

Explanation

Question 38 of 50

1

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

Select one of the following:

  • True
  • False

Explanation

Question 39 of 50

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 40 of 50

1

Where is the Dunlap office located?

Select one of the following:

  • Florida

  • Georgia

  • Pennsylvania

  • Illinois

Explanation

Question 41 of 50

1

What other offices does the FLINT office share plans with?

Select one of the following:

  • Every office

  • No other offices.

  • All other Michigan Offices.

Explanation

Question 42 of 50

1

What is the office number for Shady Road?

Select one of the following:

  • 30

  • 19

  • 9

  • There is not an office named Shady Road.

Explanation

Question 43 of 50

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 44 of 50

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 45 of 50

1

Diagnostic is considered to be what, on the breakdown?

Select one of the following:

  • Preventative

  • Bitewings

  • Basic

Explanation

Question 46 of 50

1

What does LT mean?

Select one of the following:

  • Lengthy Treatment

  • Limited Treatment

  • Lifetime

Explanation

Question 47 of 50

1

If NO is circled on the breakdown next to converted, then the resins are downgraded to amalgams

Select one of the following:

  • True
  • False

Explanation

Question 48 of 50

1

Night guard is used to treat bruxism

Select one of the following:

  • True
  • False

Explanation

Question 49 of 50

1

What does crown paid seat mean?

Select one of the following:

  • Insurance pays on the seat date

  • Insurance pays only when you're wearing a crown

  • Insurance pays on prep date

Explanation

Question 50 of 50

1

What is TYPE II on the breakdown?

Select one of the following:

  • Basic

  • Major

  • Preventative

Explanation

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