Scenario Based Quiz - Claim paid

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1. If the claim is paid through a check on the correct address and the check is not encashed and paid date has crossed 45 days then what will be your next question? May I have the encashment date?
How many days will it take to clear the check?
Could you please run a check tracker to get the current status of the check?
What is the TAT?
Click here to go on claim paid scenario

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2. If the claim is paid through a check on the correct address and the check is not encashed and paid date has crossed 45 days and the rep agrees to run the check tracer to get the status of the check then what will be your next question? May I have the encashment date?
How many days will it take to clear the check?
Could you please run a check tracker to get the current status of the check?
What is the TAT?
Click here to go on claim paid scenario

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3. If the claim is paid through a check on the correct address and check is not encashed and paid date has not crossed 45 days then what will be your next questions? How many days will it take to clear the check?
Could you please fax the EOB? If not then mail it or provide the source to get the EOB
May I have the claim# & call ref#?
All of the above
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4. If the claim is paid through a check on an incorrect address then what will be your next question? Could you please fax the EOB? If not then mail it or provide the source to get the EOB
Provide the correct check mailing address to the rep & ask to reissue a new check
May I have the encashment date?
All of the above
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5. If the claim is paid through a check on an incorrect address and the rep denies to reissue a new check then what will be your next questions? What is the reason?
Can I get the fax# or mailing address to send the W9 form to update the correct address?
May I have the Claim# & Call ref#?
All of the above
Click here to go on claim paid scenario

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6. If the claim is paid through EFT or Credit Card and the payment is not cleared and paid date has crossed 7 days then what will be your next question? Provide the correct check mailing address to the rep & ask to reissue a new check
What is the reason?
Ask to reissue a new payment
Could you please fax the EOB? If not then mail it or provide the source to get the EOB
Click here to go on claim paid scenario

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7. If the claim is paid through EFT or Credit Card and the payment is cleared and you receive the EOB then what will be your action? Note the account
Note the account and send the EOB for posting
Set the follow-up for TAT provided by the rep
None of the above
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8. If the claim is paid through EFT or Credit Card and the payment is cleared but you do not receive the EOB then what will be your action? Note the account
Note the account and send the EOB for posting
Set the follow-up for TAT provided by the rep
None of the above
Click here to go on claim paid scenario

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9. If the claim is paid through a check on an incorrect address and the rep denies to reissue a new check as the correct address is not available and the W9 form is available to you then what will be your action? Note the account
Note the account and send the EOB for posting
Set the follow-up for TAT provided by the rep
Send W9 form to the insurance
Click here to go on claim paid scenario

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10. If the claim is paid through a check on an incorrect address and the rep denies to reissue a new check as the correct address is not available and the W9 form is not available then what will be your action? Note the account and send the EOB for posting
Work as per the update
Set the follow-up for TAT provided by the rep
Send the W9 form to the insurance
Click here to go on claim paid scenario

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