Module 2- Providers Assessment

10 Questions | Total Attempts: 41

SettingsSettingsSettings
Please wait...
Module 2- Providers Assessment

Questions and Answers
  • 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

Back to Top Back to top