2305286
Questão 1
Questão
What is a breakdown
Responda
-
The patients dental benefits
-
The patients dental history
-
The patients treatment plan
Questão 2
Questão
Can you use lower case letters in QSI?
Responda
-
No
-
Yes
Questão 3
Questão
How do you search for the insurance address when creating a new plan?
Responda
-
Type the insurance company name
-
Type + then the po box number
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Enter the insurance company telephone number
Questão 4
Questão
What fee schedule does United Health Care (UHC) use?
Responda
-
Dentemax
-
DBP
-
Careington
-
United Health Care
Questão 5
Questão
What does FCL stand for?
Responda
-
Florida Central Life
-
Fee Change List
-
Florida Combined Life
Questão 6
Questão
When creating a new plan and the patient has an old insurance plan already attached to their account, what do you do?
Responda
-
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
Questão 7
Questão
Who fills out the breakdown forms?
Responda
-
The insurance company
-
The breakdown department
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The dental office
Questão 8
Questão
What is Adj Gen Svc?
Responda
-
Adjudication Services
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Sedation
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General Services
Questão 9
Questão
What two fee schedules are added to line 11 (Plan Fee Schd) when creating a new PPO plan?
Responda
-
INS and Patient
-
INS and INS
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INS and UCR
Questão 10
Questão
What does UCR stand for?
Responda
-
Usual Chart Record
-
Usual Customary Rate
-
United Core Research
Questão 11
Questão
If there is no deductible, what is entered on line 15 ?
Responda
-
Leave Blank
-
U = Unlimited
-
Zero (0)
Questão 12
Questão
If a percentage is given for implants, but the breakdown states STR, what should you do?
Example: Implants 50%-STR
Responda
-
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.
Questão 13
Questão
What does STR stand for?
Responda
-
Subject to Review
-
Standard Treatment Review
-
Standard Treatment Records
Questão 14
Questão
It is not necessary to include orthodontics (line 11) on line 18 if blank
Responda
- True
- False
Questão 15
Questão
What is the Max Age Child?
Responda
-
18
-
21
-
26
Questão 16
Questão
4910 is the code for what dental procedure?
Responda
-
Prophy
-
Perio Maintenance
-
Scaling
Questão 17
Questão
FMX, PANO and BWX are all what?
Responda
-
Type of X-Ray
-
Cleaning
-
Sedation
Questão 18
Questão
4341 is the code for what dental procedure?
Responda
-
Sealants
-
Fluoride
-
Scaling
Questão 19
Questão
What date do you use for the Rev Date on line 4?
Responda
-
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
Questão 20
Questão
What goes on line 19 for the Coverage Flag?
Responda
-
Your initials
-
The office number (located in the top left corner)
-
Your initials and the office number
Questão 21
Questão
What goes on line 37 "Max $ Sched"?
Responda
-
The maximum amount allowed by insurance
-
Leave blank
-
PPO
Questão 22
Questão
What goes on line 3 "Plan Type"
Responda
-
R
-
3
-
0
Questão 23
Questão
Perio Recall is also called
Responda
-
Perio Maintenance
-
Prophy
-
Debridement
Questão 24
Questão
If the breakdown gives a percentage for implants, but says STR, what should you do?
Responda
-
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
Questão 25
Questão
If a max age is given for orthodontics, you should include this in your comments
Responda
- True
- False
Questão 26
Questão
If there is no deductible, what goes on line 18?
Responda
-
Nothing
-
16 only
-
Everything
Questão 27
Questão
The group number does not need to go on line 1 (Plan)
Responda
- True
- False
Questão 28
Questão
All insurance fee schedules are the same
Responda
- True
- False
Questão 29
Questão
If the "Calendar Year" is circled on the breakdown, what month is used?
Responda
-
March
-
January
-
December
Questão 30
Questão
Where is the Toco Hills office located?
Responda
-
Florida
-
Georgia
-
Pennsylvania
Questão 31
Questão
Please refer to page 1 of the sample breakdowns to answer the following question: What percent should be used for Oral Surgery?
Responda
-
50%
-
80%
-
Leave blank
-
50% and note in the comments "Oral Surgery 50/80% STR"
Questão 32
Questão
Please refer to page 1 of the sample breakdowns to answer the following question: The Preventative and Diagnostic percentage is 100%.
Responda
- True
- False
Questão 33
Questão
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.
Responda
- True
- False
Questão 34
Questão
Please refer to page 2 of the sample breakdowns to answer the following question: The correct numbers on line 16 are...
Responda
-
16 only
-
1,2,14,16
-
1,2,11,14,16
-
1,2,8,11,14,16
Questão 35
Questão
Please refer to page 3 of the sample breakdowns to answer the following question: What fee schedule should this plan have attached?
Responda
-
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
Questão 36
Questão
Please refer to page 3 of the sample breakdowns to answer the following question: This plan has a 5 year replace clause.
Responda
- True
- False
Questão 37
Questão
Please refer to page 3 of the sample breakdowns to answer the following question: The correct title for this plan is...
Responda
-
A. C. Warehouse #123456
-
A. C. WAREHOUSE #123456
-
AC WAREHOUSE
-
AC WAREHOUSE #123456
Questão 38
Questão
Please refer to page 4 of the sample breakdowns to answer the following question: We always set up new plans for Metlife Military plans.
Responda
- True
- False
Questão 39
Questão
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.
Responda
- True
- False
Questão 40
Questão
Where is the Dunlap office located?
Responda
-
Florida
-
Georgia
-
Pennsylvania
-
Illinois
Questão 41
Questão
What other offices does the FLINT office share plans with?
Responda
-
Every office
-
No other offices.
-
All other Michigan Offices.
Questão 42
Questão
What is the office number for Shady Road?
Responda
-
30
-
19
-
9
-
There is not an office named Shady Road.
Questão 43
Questão
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.
Responda
- True
- False
Questão 44
Questão
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.
Responda
- True
- False
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