WebEx Load Primary Insurance Coverage

2.

The first step in loading Primary coverage is to identify the subscriber.

True
False

Correct Answer

A. True

Explanation

The first step in loading Primary coverage is to identify the subscriber. This means that before any other actions can be taken, it is necessary to determine who the primary subscriber is. This could involve verifying their personal information, such as their name, date of birth, and insurance policy number. Once the subscriber has been identified, further steps can be taken to load their primary coverage into the system.

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3.

The Subscriber section of the Coverage Summary window defaults to display:

The patient
The subscriber
The guarantor
The insured

Correct Answer

A. The guarantor

Explanation

The Subscriber section of the Coverage Summary window defaults to display the guarantor. The guarantor is the person responsible for the payment of the medical bills. It is important to have this information readily available for billing and insurance purposes.

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4.

If the subscriber is not found in the system, users must register the subscriber.

True
False

Correct Answer

A. True

Explanation

If the subscriber is not found in the system, it is necessary for users to register the subscriber. This implies that if a subscriber's information is not present in the system, the user cannot proceed without registering them. Therefore, the statement is true.

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5.

What button accesses the window to load a carrier number for a subscriber?

[Add Subs Cov]
[Copy Cov]
[Cov Add]

Correct Answer

A. [Add Subs Cov]

Explanation

The correct answer is [Add Subs Cov]. This button allows the user to access the window where they can load a carrier number for a subscriber. This suggests that the user wants to add coverage for a particular subscriber, and this button provides the necessary functionality to do so.

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6.

Users should always enter an expiration date when loading Primary coverage.

True
False

Correct Answer

A. False

Explanation

Entering an expiration date is not necessary when loading Primary coverage. The expiration date is only required when loading Secondary coverage. Therefore, the statement is false.

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7.

How should users complete the Type of Policy field when loading Medicare as the patient's Primary insurance?

Medicare Part B
Group Policy
Medicare
Medicare Primary

Correct Answer

A. Medicare Primary

Explanation

When loading Medicare as the patient's Primary insurance, users should complete the Type of Policy field by selecting "Medicare Primary". This indicates that Medicare is the primary insurance for the patient, meaning it is the main insurance that will be billed for their healthcare services. This option distinguishes Medicare from other types of insurance policies, such as Medicare Part B or Group Policy, which may be secondary or supplemental to Medicare.

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8.

Always load Primary insurance with a Filing Status of Automatic.

True
False

Correct Answer

A. True

Explanation

The statement suggests that it is always recommended to load Primary insurance with a Filing Status of Automatic. This means that when setting up primary insurance, it is advisable to select the option for automatic filing status. This indicates that the insurance company will automatically file claims on behalf of the insured individual, simplifying the process and ensuring timely reimbursement. By choosing this filing status, the insured person can avoid the hassle of manually submitting claims and potentially experiencing delays or errors in the process. Therefore, the given statement is true.

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9.

If a patient has Medicare as a secondary payer, the Relationship to Medicare field does not need to be completed.

True
False

Correct Answer

A. False

Explanation

If a patient has Medicare as a secondary payer, the Relationship to Medicare field still needs to be completed. This field is used to indicate the type of relationship the patient has with Medicare, such as being a spouse or a dependent. Even though Medicare is not the primary payer in this case, it is still necessary to provide this information for proper billing and record-keeping purposes. Therefore, the correct answer is False.

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10.

What information is appropriate to enter in the Comments field on the Insured Coverage Detail window?

Copay information
Customer Service numbers
Coverage updates
Coinsurance information
Home phone numbers

Correct Answer(s)

A. Copay information
A. Customer Service numbers
A. Coverage updates
A. Coinsurance information

Explanation

The Comments field on the Insured Coverage Detail window is meant for entering any additional information related to the insured's coverage. This can include copay information, customer service numbers, coverage updates, and coinsurance information. These details can be useful for both the insured and the insurance company to have a comprehensive understanding of the coverage and any relevant information regarding it. Home phone numbers, on the other hand, are not appropriate to enter in the Comments field as they are not directly related to the insured's coverage.

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11.

If at any time, there is a question regarding loading Primary insurance coverage, contact MedPro Knowledge Management.

True
False

Correct Answer

A. True

Explanation

This statement suggests that if there is any question or doubt about loading Primary insurance coverage, one should contact MedPro Knowledge Management. Therefore, the correct answer is "True" as it confirms the need to reach out to MedPro for assistance with loading Primary insurance coverage.

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WebEx Load Primary Insurance Coverage

Users must be able to identify the following information to load Primary coverage:

Quiz Preview

The first step in loading Primary coverage is to identify the subscriber.

The Subscriber section of the Coverage Summary window defaults to display:

If the subscriber is not found in the system, users must register the subscriber.

What button accesses the window to load a carrier number for a subscriber?

Users should always enter an expiration date when loading Primary coverage.

How should users complete the Type of Policy field when loading Medicare as the patient's Primary insurance?

Always load Primary insurance with a Filing Status of Automatic.

If a patient has Medicare as a secondary payer, the Relationship to Medicare field does not need to be completed.

What information is appropriate to enter in the Comments field on the Insured Coverage Detail window?

If at any time, there is a question regarding loading Primary insurance coverage, contact MedPro Knowledge Management.