Billing Research Requests
Billing Research Requests Quiz
Test your knowledge on Billing Research Requests with this engaging quiz. Understand key procedures, best practices, and important timelines relevant to billing operations.
- 9 Multiple Choice Questions
- Focuses on policy and process clarity
- Ideal for those involved in billing research and claims management
Billing Research Requests are researched by _________________.
Claims Department
Provider Inquiry
Billing Department
Enrollment
Member Services
There is already an active grievance, but the member is requesting billing research. You should:
Cancel the grievance and submit a Billing Research Request.
Keep the grievance open and submit a Billing Research Request.
Keep the grievance open and expedite it, no Billing Research Request.
Keep the grievance open and add a chatter to it, no Billing Research Request.
What is the last step to making sure a Billing Research Request is completed in time for the member?
Email your supervisor to let them know you have submitted a Billing Research Request.
Add the call tracking to the Billing Research Request list in LINK
Add the claim to the Billing Research Request list in LINK
Billing Research Requests can only be done if 30 days have passed from the remit date.
True
False
Billing Research Requests can only be done if the claim is on file.
True
False
A Billing Research Request will not be touched until it is entered into LINK, delaying the research.
True
False
Your request was sent back for missing a phone number. Once you have obtained the missing information and added it to the call tracking, your next step is to:
Assign to MSPI Billing Research, and edit the existing request in LINK.
Assign to MSPI Billing Research, and add a new request in LINK.
Open Billing Research Requests get assigned to which bucket?
MSPI, Billing Research
GA, Claims
Provider Outreach
Billing Research Requests always result in an outreach to the provider.
True
False
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