Module 2- Providers Assessment
- 1.What network code is the ADDP Dental Network?
- A.
99
- B.
16
- C.
25
- D.
35
- 2.How will you be able to tell Star designated providers through Find a Dentist?
- A.
A Star will appear beside their name
- B.
They will appear at the top of the results list
- C.
They will not be shown differently than other particpating providers within the ADDP Dental Network
- D.
A Star will show beside their name and the Star designated providers will appear at the top of the find a dentist list
- 3.When making an appointment for a referral for an ADSM with a provider's office, we should advise the office they can now file their claims through the referral modification screen in DART Plus.
- A.
Yes
- B.
No
- C.
Only mention this if the office asks you about DART enhancements
- 4.What are the ways a provider's office can request an appointment control number?
- A.
Through the IVR
- B.
From the website
- C.
By talking to a representative within ADDP
- D.
All of the above
- 5.How can a provider submit a claim to ADDP with the new enhancements?
- A.
In DART by going into a referral or authorization
- B.
By Speed eClaim
- C.
By mail
- D.
Electronically
- E.
All of the above
- F.
B, C and D
- 6.Can a provider that is not particpating with other United Concorida networks become participating with only the ADDP Dental Network?
- A.
Yes
- B.
No
- C.
No, they must also become particpating with the National Fee for Service Fee Schedule
- 7.What must an office do to maintain their Star designation status within the ADDP Dental Network?
- A.
Submit at least 90% of their ADDP claims electronically
- B.
Submit authorizations electronically via DART
- C.
Receive their United Concordia claims payments via EFT (Electronic Funds Transfer)
- D.
All of the above
- 8.Providers within the ADDP Dental Network that have a Star designation will have a different fee schedule than providers that are just participating with the ADDP Dental Network.
- A.
True
- B.
False
- 9.In order for a provider to submit a claim through a referral or authorization in DART, at least one line on the referral has to be open or the authorization must have at least one line that has DSPOC Approval and a line status of open.
- A.
True
- B.
False
- 10.A Star designated provider has a higher fee schedule allowance for procedures than a provider who is participating with the ADDP Dental Network only.
- A.
True
- B.
False
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