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Claims Training
Procedures
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If claim is received with no Drivers Name, how would you proceed?A. Skip the claims. B. Pay the claims C. Gain needed information from the previous/next page D. Select the (Driver Not in System) option for sub-batch. E. Deny on paper only for MDI/MDNS
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If claim is listed as cancelled in Insight, how would you proceed?A. Skip the claim. B. Process and pay. C. Process and deny claim for SNPM D. Deny for UNS (unauthorized no-show).
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If claim was submitted with the incorrect Leg ID# listed, how would you proceed?
Claims Training (Answer Key)
Procedures
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If claim is received with no Drivers Name, how would you proceed?A. Skip the claims. B. Pay the claims C. Gain needed information from the previous/next page D. Select the (Driver Not in System) option for sub-batch. E. Deny on paper only for MDI/MDNS
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If claim is listed as cancelled in Insight, how would you proceed?A. Skip the claim. B. Process and pay. C. Process and deny claim for SNPM D. Deny for UNS (unauthorized no-show).
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If claim was submitted with the incorrect Leg ID# listed, how would you proceed?Deny on paper for ITI
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