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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
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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
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