When you're ready to print, just click this button: Make Print-Friendly

Claims Training

Procedures

  1.  
    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
  2.  
    If claim is listed as cancelled in Insight, how would you proceed?
    A. Skip the claim. B. Process and pay. C. Deny for UNS (unauthorized no-show). D. Process and deny claim for SNPM
  3.  
    If claim was submitted with the incorrect Leg ID# listed, how would you proceed?
    A. Deny in Insight for ITI. B. Search for the correct Leg ID#. C. Deny on paper for ITI D. Deny on paper for MCN. E. Deny in Insight for MCN.
  4.  
    If you receive the error message "Driver is not valid for the entirety of the trip", what would you deny for?
    A. MDNS B. MDI C. ALD D. CD E. UAD
  5.  
    If provider has not listed the SETI Decal or License Plate#, what would you deny for?
    A. MPN B. IMT C. MER D. MLP E. MEN
  6.  
    If the mobility type circled does not match what is listed in Insight, what would you deny the claim for?
    A. IMT B. MMO C. MCO D. UAV E. SDV
  7.  
    If claim is submitted with "Stretcher" mobility type, what else must be listed on the claim form?
    A. Member Name B. Leg ID# C. Initials D. Attendant/Monitor E. Provider Comments
Answer Key
Hide Answer Key

Claims Training (Answer Key)

Procedures

  1.  
    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
  2.  
    If claim is listed as cancelled in Insight, how would you proceed?
    A. Skip the claim. B. Process and pay. C. Deny for UNS (unauthorized no-show). D. Process and deny claim for SNPM
  3.  
    If claim was submitted with the incorrect Leg ID# listed, how would you proceed?
    A. Deny in Insight for ITI. B. Search for the correct Leg ID#. C. Deny on paper for ITI D. Deny on paper for MCN. E. Deny in Insight for MCN.
  4.  
    If you receive the error message "Driver is not valid for the entirety of the trip", what would you deny for?
    A. MDNS B. MDI C. ALD D. CD E. UAD
  5.  
    If provider has not listed the SETI Decal or License Plate#, what would you deny for?
    A. MPN B. IMT C. MER D. MLP E. MEN
  6.  
    If the mobility type circled does not match what is listed in Insight, what would you deny the claim for?
    A. IMT B. MMO C. MCO D. UAV E. SDV
  7.  
    If claim is submitted with "Stretcher" mobility type, what else must be listed on the claim form?
    A. Member Name B. Leg ID# C. Initials D. Attendant/Monitor E. Provider Comments

When you're ready to print, just click this button: Make Print-Friendly

Quick Feedback for Knowledge Mouse

Want to suggest a feature? Report a problem? Suggest a correction? Please let Knowledge Mouse know below: