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  • What benefit level will be applied when ER services are received outside of the country
    Title: Am I covered for medical care outside of the country?Article Number: 2475
  • Is CPT code 90750 considered standard or supplemental preventive care?
    Title: How do you read the preventive care code list?Article Number: 10871
  • EviCore is our Sleep Management Vendor. True/False
    Title: eviCore Sleep Management Program OverviewArticle Number: 4631
  • Reason Not Covered Codes (RNC) tell you why a claim is denied. True/False
    Title: What is a Proclaim Reason Not Covered (RNC) Code?Article Number: 47727
  • When quoting benefits, what benefit categories do you not state based on medical necessity?
    Title: What Benefits Categories do you not have to state Based on medical necessity? Article Number: 47793
  • How can I tell if a CPT code is covered?
    Title: How do we verify if certain codes are covered?Article Number: 3430
  • Is CPT code 45346 considered preventive/supplemental?
    Title: How do I tell if a service is preventive?Article Number: 1526
  • What benefit would TLC code NEL
    Title: TLC Codes ProclaimArticle Number: 15120
  • Would an EKG be covered as a preventive service?
    Title: Preventive Care Coverage Overview Article Number: 9406
  • Explain what a benefit enhancement is
    Title: What is Benefit Enhancement?Article Number: 37503
  • The TYP code helps to identify the type of service is being applied . True/False
    Title: What is a Proclaim Type (TYP) Code? Article Number: 47730
  • What is a system flag?
    Title: What is a System Flag in Proclaim? Article Number: 47724
  • What information (Categories) are required when quoting benefits?
    Title: Required information when quoting Medical Coverage Call Guide Article Number: 12915
  • Are mammograms covered for females only?
    Title: Are mammograms covered for males? Article Number: 2058
  • How many ultrasounds are covered during pregnancy?
    Title: How are ultrasounds covered during pregnancy?Article Number: 3187
  • What is the CBH Provider Network?
    Title: What is the network ID for behavioral health?Article Number: 5817
  • If a provider is not showing contracted under CBH, what do you do next?
    Title: Behavioral Health Call OverviewArticle Number: 13746
  • A lawyer called to give us information on a car accident, where do I transfer them?
    Title: Where do I transfer a lawyer who calls about subrogation on a customer? Article Number: 3419
  • What is the disposition code?
    Title: What is a Proclaim Disposition Code?Article Number: 47729
  • Would a provider need to have a contract for medical and behavioral health in order to bill for either service?
    Title: What is my coverage for behavioral health services?Article Number: 13759
  • Are allergy injections covered under my plan?
    Title: Are allergy injections covered under my plan? Article Number: 3860
  • Where can I find the max for allergy testing that a customer can get in 365 days?
    Title: What is the maximum for allergy testing?Article Number: 7811