Test your knowledge 12

Let's review navigation for Claims Inquiry.

professor at blackboard

 

If you wish to review course material use the BACK link at the bottom of the page to reach the page desired. You may also use the TOC link and select the section you wish to review.

After review, use the CONTINUE link or the TOC link to return to the TEST YOUR KNOWLEDGE page.

 

Click the letter next to the best answer.

CLAIMS PROCESSING subsystem

Letter A buttonuses data contained in recipient, provider and reference files to process claims

 Letter B button receives, edits, audits and processes claims to final disposition

Letter C buttonissues payments and other claim adjustments

Letter D buttonAll of the above

 

INQUIRY subsystem in CLAIMS PROCESSING APLICATION

Letter A buttonallows workers with security access to view claims submitted for MHCP programs

 Letter B buttoncontains a history of paid, denied and suspended claims

Letter C buttonprocesses a variety of claim types

Letter D buttonAll of the above

 

After entering search criteria on the MMIS CLM INQ KEY PNL - CINQ panel

Letter A buttonthe CRCS screen displays if there are claim in suspended status in MMIS

 Letter B buttonthe CRPC screen displays listing paid and denied claim in MMIS

Letter C buttonnavigation to view a specific claim from the CRCS or CPRC screen requires use of the ARROW DOWN key and F4 function key

Letter D buttonAll of the above

 

Click to choose true or false

To view more claims when a + or +/- is displayed on the MMIS RECIPIENT PAID/DENIED - CRPC claims panel press F8.

Button with letter T

Button with letter F

To view return to previous page of claims when a - or +/- is displayed on MMIS panel press F8 again

Button with letter T

Button with letter F

MMIS CLM INQ KEY PNL – CINQ has more options for search criteria than most key panels.

Button with letter T

Button with letter F

Warrant date is the date claims payments are made.

Button with letter T

Button with letter F

This concludes our review of CLAIMS PROCESSING APPLICATIONS: INQUIRY.

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