Prior Authorizations In Healthcare: Quiz!

28 Questions | Total Attempts: 616

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Prior Authorizations In Healthcare: Quiz! - Quiz

When it comes to healthcare, many things are sensitive and should not be disclosed to the public. As a caregiver, some prior authorizations in healthcare that someone is expected to get before they undertake a given task. The quiz below is designed to see just how much you understand them. All the best!


Questions and Answers
  • 1. 
    After you have verbally provided an authorization number, what pieces of information are provided to a doctor that requests a full breakdown of the authorization?
  • 2. 
    Name four of the most common search criteria combinations used in the Member Search Tab.
  • 3. 
    Describe how to delete an authorization in the Eligibility Tab.
  • 4. 
    In order to search for a member under a specific client, you must click the checkbox in front of the Limit Search by Client(s). 
    • A. 

      True

    • B. 

      False

  • 5. 
    If you have located the member's name, you can assume that you have found the correct member. No further verification is necessary.
    • A. 

      True

    • B. 

      False

  • 6. 
    It is acceptable to ask for a member ID number on a call.
    • A. 

      True

    • B. 

      False

  • 7. 
    When a client tracks dependents, they will report each individual dependent eligible to use the plan.
    • A. 

      True

    • B. 

      False

  • 8. 
    A client tracks dependents and a child is listed with the last name of Harrison. The child's last name is actually Starkey. The "Update" button in the Customer Care Portal can be used to correct the error.
    • A. 

      True

    • B. 

      False

  • 9. 
    You are able to search through a maximum of four clients at one time for a member.
    • A. 

      True

    • B. 

      False

  • 10. 
    If a doctor is requesting a backdated authorization more than 6 months from the DOS, you would:
  • 11. 
    Name the field in the Customer Care Portal that you use to backdate an authorization.
  • 12. 
    Besides talking with a CSR, what are two other methods the doctor can use to obtain authorization?
  • 13. 
    What is the client ID for the live region client named Vision Benefits Active?
  • 14. 
    When completing a member search in the Customer Care Portal, if there is only one Active/Active match in the Member Search Results, the member's information will automatically populate into the:
  • 15. 
    You see an error message "No coverage Elected" under a dependent's name on the Eligibility Tab. What do you do?
  • 16. 
    Look up Randolph B Ahlo. Name two things you will need to verify on this member?
  • 17. 
    When searching for clients on the Client Tab, which check box should be clicked to hide termed and pended clients?
  • 18. 
    Which of the following is false regarding faxed authorizations?
    • A. 

      A fax can not be sent to a personal residence.

    • B. 

      A faxed authorization can only be resent to the same office that requested it.

    • C. 

      An authorization not originally issued as a fax can be faxed at a later date.

    • D. 

      Faxing can only be sent to the same fax number on file with VSP.

  • 19. 
    You are able to split a service for an authorization on:
    • A. 

      Authorization Detail

    • B. 

      Available Benefits Summary

    • C. 

      Doctor Search Criteria

    • D. 

      Member Profile

  • 20. 
    After entering the doctor's phone number in the Eligibility Portlet, an office name appears. What else needs to be appear in order to issue an authorization?
    • A. 

      A green checkmark next to the office name

    • B. 

      A list of the doctors contracted in that office

    • C. 

      A Red "X" next to the patient's benefit type

    • D. 

      The doctor's fax number on file with VSP

  • 21. 
    Which area is used in the Customer Care Portal to issue multiple authorizations at one time?
    • A. 

      Eligibility Tab

    • B. 

      Member History

    • C. 

      Member Profile

    • D. 

      Member Search Tab

  • 22. 
    A doctor requests to delete an authorization they received last week. You would:
    • A. 

      Ask that they call back

    • B. 

      Delete the authorization

    • C. 

      Tell them the system will automatically delete the auth

    • D. 

      Transfer to CC

  • 23. 
    Perform a client search in the live region. Do the Sacramento Kings offer VSP?
    • A. 

      Yes

    • B. 

      No

  • 24. 
    Perform a client search in the live region. Do the Oakland A's offer VSP?
    • A. 

      Yes

    • B. 

      No

  • 25. 
    Perform a client search in the live region. Does Christian Dior offer VSP?
    • A. 

      Yes

    • B. 

      No

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