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Delta Dental > Quizzes > Flashcards

Quizzes Flashcards

1
Q 
Which of the following make up the Delta Dental enterprise?
A Delta Dental of Virginia
B Delta Dental of Pensylvania
C Delta Dental of California
D Delta Dental Insurance Company (DDIC)
A

B Delta Dental of Pensylvania
C Delta Dental of California
D Delta Dental Insurance Company (DDIC)

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2
Q 
Which of the following states are under Delta Dental Pennsylvania?
A Maryland
B New Jersey 
C New YORK
D Georgia
A

A Maryland

C New York

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3
Q 
Which of the following states are under Delta Dental Insurance Company?
A Georgia
B Arizona
C Texas 
D arkansas
A

A Georg

C Texas

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4
Q 
Delta Dental Enterprises Operations is comprised of which departments?
A Claims
B Shared Services
C Group Sales
D Contact Center
A

A Claims
B Shared Services
D Contact Center

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5
Q

What plans do Delta Dental offer to groups?

A

Delta Dental Premier, PPO, and PPO Plus Premier

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6
Q

True or false: Delta Dental participates in several governmemt programs. Including Denti-cal and the Tricare Retiree Dental Program

A

True

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7
Q 
Which of the following systems display information about how a claim was processed? 
A EBD
B NPF
C NEA
D MTV
A

A EBD

D MTV

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8
Q

In which of the following systems can you view provider -specific information?

A MTV
B KRONOS
C NPF
D EBD

A

A MTV

C NPF

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9
Q

What application contains job aids and desk level procedures that are specific to your job?

A

ORL/CTR

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10
Q

Genesys WDE coordinates with which of the following systems?

A

EBD and MACESS

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11
Q

Which of the following functions is not available in NPF?
A Viewing a provider address
B Verifying member eligibility
C checking provider participation status
D Viewing a providers specialty

A

B Verifying member eligibility

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12
Q

What ia the purpose of the MACESS Service forms?
A. To document phone inquires
B. To record dental appointments for members
C. To provide consistent tracking of all conversations and workflow to other departments
D. To ensure the delta dental adheres to the tracking of work started and completed in other departments

A

A. To document phone inquires
C. To provide consistent tracking of all conversations and workflow to other departments
D. To ensure the delta dental adheres to the tracking of work started and completed in other departments

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13
Q 
Which of the following tabs on the service form do you use go populate the member of Provider Folder ID? 
A contact
B details
C remarks 
D resolution
A

A.Contact

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14
Q 
Which tab on the service form do you use to view information such as the Client, Plan Name, and Meta Vance ID number? 
A details 
B information
C resolution
D remarks
A

B information

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15
Q

What is the purpose to marking various checkboxes within Ddetails tab?

A

For tracking and reporting purposes and to document the topixs discussed on the call

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16
Q

True or false? When a service form has been completed in MACESS it cannot be edited. However users are still able to add notes to it

A

True

17
Q

True or False. Members are able to see any provider that they choose

A

True

18
Q

What is the quickest way to search for a provider in the NPF?

A

TIN

19
Q

True or false. All providers always recieve payment from delta dental directly

A

False

20
Q

True or false. All providers always recieve payment from delta dental directly

A

False

21
Q

What type of provider is always able to balance bill to his/her submitted fee?

A

Non participating

22
Q

Which system can be used to voew special provider contracts?

A

MTV

23
Q

What is the code for Major Restorative?

A

D2750

24
Q

reminder: Did Jacob have prophy for that date of service?

A

remember when looking up claims to look up the correct member

Delta Dental (11 decks)

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