Senture Quantum Final Exam Questions

Senture Quantum Final Exam Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) List the 3 pieces of information needed to verify a members identification in order to discuss PHI - Correct Answers ✅1.ID Number

• Name
• Date of Birth

What are the 3 places or ways to find an EOB - Correct Answers ✅1. TPA website

• Members website
• Internal claim

Define deductible - Correct Answers ✅The fixed dollar amount that is the responsibility of the member/family to pay before the plan starts to pay a certain percentage.Define Out of pocket max - Correct Answers ✅A fixed dollar amount that is the responsibility of the member or family to pay before the plan will start paying 100% of covered INN services.What are the 3 pieces of billing information needed to verify if the provider is INN - Correct Answers ✅1. Billing address

• Billing name
• Billing TID 1 / 2

Senture Quantum Final Exam Questions and Verified Answers, 100% Guarantee Pass (Latest 2025) When quoting benefits for OP surgery. Who are the 2 provider we should be checking network status on? - Correct Answers ✅1. Facility

• Surgeon

When a caller is asking about a claim. What are the 3 pieces of information needed to most efficiently locate the claim? - Correct Answers ✅1. Date of Service

• Total Charged amount
• Provider name

When building a Precert for an OP MRI. What are the 4 key items needed (DO NOT INCLUDE THE DOS) - Correct Answers ✅1. CPT code

• Diagnosis Code
• Ordering Provider
• Facility

name the document that outlines every detail of the plan also known as the "constitution of the plan" - Correct Answers ✅SPD (Summary Plan Description)

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