Claims Training
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If claim is received with no Drivers Name, how would you proceed?
Select the (Driver Not in System) option for sub-batch.
(wrong answers:
Skip the claims.,
Pay the claims,
Gain needed information from the previous/next page,
Deny on paper only for MDI/MDNS)
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If claim is listed as cancelled in Insight, how would you proceed?
Process and deny claim for SNPM
(wrong answers:
Skip the claim.,
Process and pay.,
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