Pre-Registration Client Specific Test March 2015

1.

10 points

Consider an appointment has Tricare South Prime coverage which is E-verified. Plan name as per tricare payor website is prime and region is south. What plan should be added for this scenario?

Tricare other

Verify under the same coverage Tricare South Prime

Tricare South Standard

Move the account to calling

2.

10 points

Consider an appointment has Tricare North Prime coverage which is E-verified. Plan name as per tricare payor website is prime and region is not specified. What plan should be added for this scenario?

Verify under the same coverage Tricare North Prime

Move the account to calling

Tricare other

Tricare South Prime

3.

5 points

What plan should be added if BCBS NC group number is IADVON?

BCBS NC Blue Advantage Exch

BCBS NC Blue Select Exch

BCBS NC Blue Advantage Non Exch

BCBS NC Blue Select Non Exch

4.

10 points

Consider appointment date is 04/03/2015 & the encounter date showing in hospital account theraphy series is 02/01/2015. Then which of the below action should you follow to create a hospital account?

Select the default yellow colour highlighted old encounter and click on assign selected account

Select create new hospital account series & click on create recurring series

5.

10 points

Consider an appointment has Tricare North Standard coverage which is E-verified. Plan name as per tricare payor website is prime and region is north. What plan should be added for this scenario?

Move the account to calling

Tricare North Prime

Verify under the same coverage Tricare North Standard

Tricare South Prime

6.

10 points

What should be the effective date for a newly added plan while replacing a greyed out plan?

Day before the effective date of greyed out plan

Effective date as updated in greyed out plan

Effective date as per experian website

Day after the effective date of greyed out plan

7.

10 points

What plan should be added if tricare plan name is overseas?

Tricare for Life

Tricare South Standard

Tricare other

Tricare North Prime

8.

5 points

What plan should be added if plan description under Aetna response history is POS?

Aetna Open Access HMO

Aetna Open Choice POS

Aetna Other

Aetna Open Access PPO

9.

10 points

What plan should be added if plan description under response history is BRZ DO HMO Duke?

Wellpath Direct Open Access HMO

Duke Select Wellpath Open Access

Coventry Healthcare PPO HMO

Coventry Healthcare POS

10.

10 points

Consider an appointment has Medicare A and B as primary which is E-verified & Tricare for Life coverage. But plan name as per tricare payor website is prime and region is south. What plan should be added for this scenario?

Tricare South Prime

Verify under the same plan Tricare for Life

Tricare other

Tricare South Standard

11.

10 points

Consider an appointment has Tricare South Standard coverage which is E-verified. Plan name as per tricare payor website is prime and region is not specified. What plan should be added for this scenario?

Tricare South Prime

Tricare North Standard

Move the account to calling

Tricare North Prime