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DAC NH Coverage Review
Test Description: This review will go over DAC coverages.
Instructions: Answer all questions to get your test result.
1) Which coverage codes can be used when entering in the members insurance information from their Medicare card?
A
PBC, MPD, PBA
B
PBA, EVC/EVM
C
PBA, PBC and MPB
D
MPD, EVC/EVM, MPB
2) What coverage code is used when entering a new member\'s insurance information transfered from Convergys?
A
MPB
B
PBC
C
MPD
D
PBA
3) How soon can you refill supplies for a member with MPD insurance coverage?
A
We do not handle members with MPD insurance.
B
87 days
C
85 days
D
65 days
4) 2PB is the coverage code for what type of members insurance?
A
Medigap insurance
B
All of the answers below
C
Supplemental coverage
D
Secondary coverage
5) The member's OCNA number is entered into what field?
A
White Field
B
Sub Group field
C
Rank field
D
Status Field
6) What search criteria will give you the best results when entering in PBA/PBC coverage in IRIS?
A
PBC%
B
PBA%
C
Prescription Solutions%
D
%Prescription Solutions%
7) In the coverage tab if the Plan Name reads "Secondary Part B" what action should you take?
A
Make sure the sub group fields match and move on.
B
Convert the parente level 2PB to the Child level 2PB
C
Raise your hand and ask a SME
D
ingnore it because its fine.
8) How many coverages can be added into IRIS.
A
the system does not have a limit.
B
4
C
8
D
6
9) Medicare specific coverages are set to which rank?
A
2
B
6
C
1
D
143
10) What search criteria do you use when entering in the members 2PB coverage in IRIS?
A
OCNA number
B
Plan Name
C
Member ID
D
Coverage Name
*select an answer for all questions
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