This will go over important things to remember when making an appointment for an ADSM
Select approved out of network yes underneath the provider information from the drop down box
Write in notes section why you are approving a non-participating provider
Both A and B
None of the above
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Offer to send them a list of dentists via email
Offer the website to the ADSM
Give the name of Star designated providers that are in their area over the phone
All of the above should be offered
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Fill out the form for the caller
Advise the caller they can request an ACN also through our website and IVR
Both A and B
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The system will automatically check the specialist box next to the provider's name
The system will put a message below the provider's name stating the provider is a specialist
You will not be able to tell on the appointment modification screen
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Name of ADSM
Social Security Number of ADSM
Date of birth
Name of doctor ADSM is seeing
All of the above
A, B and C only
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True
False
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True
False
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True
False
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Nothing it will be tracked like today using an inquiry number.
The representative will document the appointment using a "long john" in Spirit under 06 using the new 3555APTSCH queue
Email your supervisor at the end of the week the number of ACNs on the Dart report you worked that week
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True
False
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7 calendar days
5 calendar days
21 calendar days
9 calendar days
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