Claims Training

Question or Hint Answer or Word

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