Module 2- Providers Assessment

12 Questions | By Prsupport | Updated: Mar 21, 2022 | Attempts: 105

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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
11.

Star designated providers must receive their payments for claims via EFT (electronic funds transfer)?
- A.
  
  True
- B.
  
  False
12.

If a dental office performs restorations but does not do amalgam fillings in their office they can still be a Star designated provider.
- A.
  
  Yes
- B.
  
  No