Processing Screens 1
To view all authorizations on file
What is the TS screen?
the definition of diagnosis code S82.61XA
What is DISPLACED FRACTURE OF LATERAL MALLEOLUS OF RIGHT FIBULA, INITIAL ENCOUNTER FOR CLOSED FRACTURE ?
For CSA 285650 plan A ambulance is covered at (PAR)
What is AMBULANCE 100% NO DEDUCTIBLE?
The EPDB flag for AAOPTOUT means
What is Aetna Access Opt Out?
This many lines can be entered on the HC processing screen
What is up to 18 lines?
on claim E3JNSVBPR00 this is the amount of deductible met
What is $600.00?
For CSA 285593 Plan HA, the physician office copay is (PAR)
What is
PHYS OV COPAY100%, NO DEDUCTIBLE, AFTER $15 COPAY.
EWM status code FG means
What is Flagged Fraud Provider?
You go here to see overrides for other segments from cqc by entering this
What is 'O' in the window ID field and enter?
You can view the line payment details here
What is the Y Display?
pricing for CPT 24587, POS 21, DOS 4/16/2026, RT SYS REF, zip code 41063
What is $1057.75?
For CSA 866065 plan KA under the OA EC plan, the remark 900 is for
What is QUEST DIAGNOSTIC LABS AND LABCORP: COVERED AT 100%, NO DED, NO COPAY; MEMBER RESPONSIBILITY IS $0.
C.R.Y stands for _______________ and is a ____________ task.
What is the C, R, and Y displays and mandatory?
Claim PMADVYT0Y00 what is the DX code billed
What is O098.13?
Claim EVADSV5T700 is priced at
What is $590.88?
The pricing of CPT 84144 with 1 unit, PSO 11, DOS 3/23/26, REF rating, zip code 92130
What is $24.96?
For CSA 169570 in PSPP the urgent hot topic dated 7/1/2024 is for
What is 07/01/2024 - DO NOT ENTER SERVICE AUTHORIZATIONS IN MEDCOMPASS- Cleveland Clinic manages medical, BH, RX Precert, UM decisions for its own employees; except Infertility and PreD. Refer to Other Medical Benefits – Precertification
instructions on how to access the EX screen for action codes
What is To Search for a Specific Explanation/Action Code:
Claim EA37T8F9C00 the total priced amount is and what rating system is used
What is QUEST rating system and $168.42?
you can view the provider PIN, address here
What is the Z display?
the DRG weight for DRG 402, POS 21, DOS 4/16/2026, zip code 41063
What is 4.0205?
for CSA 187729, the COB Details is for Aetna to be _________ to Medicare
What is Primary?
Per instruction of The City of Seattle, Aetna must adjust their COB to be primary to Medicare for active employee's domestic partner, rather than secondary. They want domestic partners treated the same as "spouses" even though this does not follow the standard Medicare COB logic.
The ClaimsXten/Novologic process occurs when
When after all expense line edits have been cleared. Once the ClaimsXten/Novolgogix process is completed, special edits may display on the CP screen.
Paid amount on seg 02 of claim E8PDS1FF0
What is $9866.76?