Claims
The name for a paper claim form associated with hospitals or outpatient facilities
What is a UB04?
A failsafe clients use to catch remits for a given NPI in the case of no enrollment record
What is a Remit Template?
This application can be used to import multiple UUID's at once to get a quick turnaround on specific error messages.
What is "SHERPA"?
The times in which eligibility rules become active after being applied.
What are 9 AM and 9 PM?
A phrase used to refer to reconnecting or briefly meeting regarding an issue or project (often used by CSM's)
What is "Touch Base"?
This field for secondary claims cannot be reported at both the claim and service line levels
What is the COB field?
This report displays the number of remits a client has been billed for without any additional detail
What is the Remits Billing Report?
This error message is often seen when there are not enough credentials for the amount of claim status checks being attempted.
What is "Deferred for Payer Limiting Rejection"
A feature (at no extra cost) in which Waystar sends copies of Medicare Advantage claims to traditional Medicare to receive an additional add-on payment. (DAILY DOUBLE).
Two words that Waystar uses to define its benefit to customers and the revenue cycle system (DAILY DOUBLE)
What are "Simplify" and "Unify"?
A value associated with a claims route often needed for enrollment or for payer outreach that identifies Waystar to the payer (DAILY DOUBLE)
What is the Trading Partner ID or submitter ID?
This is a type of EOB image format that mimics Medicare's EOB's
What is the SPR EOB?
What is "MFA"?
This ID needs to be created by EDI prior to sending a special build case to our engineering team.
What is a Trading Partner ID? or TPID
A word for an approach to a problem that addresses every part of an issue and takes all factors into account when making a decision.
What is "holistic"?
this setting helps clients avoid payer name matching, given their PM system has the right value on the inbound file
What is "Use Submitted Payer ID"?
Indicated by two outward arrows, this particular type of payment cannot be downloaded.
What is the parent payment?
On Waystar Claims Monitoring as well, these labels help classify certain claim status responses in order to most effectively route them to the proper work queues within the client's system.
PLB routing method in which all PLB's will be sent to the designated PLB Account & will not be combined with other payments.
What is PLB Force Include?
A term that was adapted from the technology industry that is often used to describe the amount of energy or time an employee can contribute to a goal or project.
What is "Bandwidth"?
The two options available to clients to allow claims to stop for attachments
What are the PWK segment or Opt in options?
Payments from the route NDS are a sign that a client has this Waystar solution.
What is EOB Conversion?
What is Throughput?
When creating a subroutine, this crosswalk is utilized when writing out/coding the request.
What is the DA Crosswalk?
This word is defined as an interaction or cooperation giving rise to a whole that is greater than the simple sum of its parts.
What is "Synergy"?