This is an open book test.
True
False
True
False
Blank form
Written notice
Copy of front sheet
True
False
I don't know
Not Denied Medical Coverage
Notice of Denial of Medical Coverage
Appeal rights and with NDMC's both expedited and standard appeal rights
Written notices must describe the member's right to present evidence in writing
Written notices must describe the member's right to present evidence in person
All of the above
True
False
5 days
60 days
365 days
Invisible Raised Eyebrow
Independent Review Entity
Individual Request Express
True
False
Notice of Medicare Non-Coverage
Notice of Medicaid Coverage
None of the above
True
False
True
False
Member may request a fast track appeal by telephone or in writing to the QIO
Request must be made by no later than noon of the day after the receipt of the NOMNC
All of the above
True
False