Day 5 Flashcards
1
Q
Range of member requesting provider fees on final. Can this information ne given away? And what info can be given away?
A
Cannot tell exact provider fee price. But can say a range of $5. Example fee is $32 but give range of $25-$40 to them
2
Q
True or False. MACESS has email capability
A
False
3
Q
What is a standard PPO?
A
-
4
Q
What is a straight PPO?
A
-
5
Q
What is a PPO Allowance?
A
The amount that dentists are contracted to receive when participating in Delta Dentals PPO Network
6
Q
What is a Premier Allowance?
A
Contracted to receive when particpating in premier
7
Q
What is the benefit of having PPO and Premier?
A
visit more providers who are ppo or premier
8
Q
What systems are used to check for providers information?
A
NPF and MTV
