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Claims Training

Denial Codes

  1.  
    If a claim is missing the Mobility Type, what would you do?
    A. Pay the Claim. B. Deny for IMT. C. Deny for MMO. D. Deny for MPN. E. Deny for MIT.
  2.  
    If a provider has submitted a claim with no Trip/Leg ID#, what would you do?
    A. Search for the missing Trip/Leg ID#. B. Deny on paper for MCN. C. Deny in Insight for MCN. D. Deny in Insight for ITI. E. Deny on paper for ITI.
  3.  
    If a claim form has been corrected but not initialed, what would you deny the claim for?
    A. ALD B. MCV C. Nothing D. CD E. ALD, MCV
  4.  
    What happens if a provider uses white-out/correction fluid on the form?
    A. You can pay if correction has been initialed B. Qualifies for a final denial with no rights to an appeal. C. Send to the appeals team. D. Pay the claim.
  5.  
    If a provider marks the trip as cancelled on the claim form, what would you do?
    A. Skip the claim. B. Process and pay C. Process and deny for SNPM(Service not Provided to Member) D. Process and deny for MCO (Missing Complete Odometer Reading) E. Process and deny for UNS(Unauthorized no-show)
  6.  
    What state is willing to all providers for no-show trips?
    A. VA B. IN C. AR D. GA E. MS
  7.  
    Which states pay for approved escorts?
    A. AR, DC B. GA, IN C. IN, LA D. LA, VA E. TN, AR
Answer Key
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Claims Training (Answer Key)

Denial Codes

  1.  
    If a claim is missing the Mobility Type, what would you do?
    A. Pay the Claim. B. Deny for IMT. C. Deny for MMO. D. Deny for MPN. E. Deny for MIT.
  2.  
    If a provider has submitted a claim with no Trip/Leg ID#, what would you do?
    A. Search for the missing Trip/Leg ID#. B. Deny on paper for MCN. C. Deny in Insight for MCN. D. Deny in Insight for ITI. E. Deny on paper for ITI.
  3.  
    If a claim form has been corrected but not initialed, what would you deny the claim for?
    A. ALD B. MCV C. Nothing D. CD E. ALD, MCV
  4.  
    What happens if a provider uses white-out/correction fluid on the form?
    A. You can pay if correction has been initialed B. Qualifies for a final denial with no rights to an appeal. C. Send to the appeals team. D. Pay the claim.
  5.  
    If a provider marks the trip as cancelled on the claim form, what would you do?
    A. Skip the claim. B. Process and pay C. Process and deny for SNPM(Service not Provided to Member) D. Process and deny for MCO (Missing Complete Odometer Reading) E. Process and deny for UNS(Unauthorized no-show)
  6.  
    What state is willing to all providers for no-show trips?
    A. VA B. IN C. AR D. GA E. MS
  7.  
    Which states pay for approved escorts?
    A. AR, DC B. GA, IN C. IN, LA D. LA, VA E. TN, AR

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