CAS
If a CMS 1500 claim form contains a place of treatment code31, which POT code will display on MHI screen in CAS?
8
Which code is used to identify room and board services billed on a facility claims?
Revenue
Which CAS MHI field displays the date the claim was received?
RDT
What is the name of the link on CRM Claim Details page that opens Humana Image View Station. It also allows users to view an image of a paper claim that was submitted by a provider.
Claim Image
What is the name of the claim form used by physicians (or other health care provider for medical services) to submit payment for services?
CMS1500
A CAS claim has a EX code 04D on MHI screen, which meansBill HCFA Intermediary for Hospice Services. To verify hospiceeffective dates, which CAS screen is used to locate eligibilitydates?
CWI
Which code consists of a single letter followed by four digits and is also used on claims to identify supplies and non-physician services?
HCPCS
What are the primary processing outcomes of a claim in CAS? (choose all that apply)
A) Canceled
B) Paid
C) Denied
D) Pended
E) Approved
F) Terminated
B) Paid
C) Denied
D) Pended
Why should you log information to a CRM case?
All information provided to a customer must be documented. Logging is a quick way to document the information provided without having to type in free text comments.
Which MHI modifier is used to locate the member responsibility in CAS?
L
What does the CAS Payee Codes 5 mean?
Pay the provider (H provider)
Which link would you click if you are unable to locate the claim in CRM?
CAS / CAS(Old)
In CAS, what does payee code R mean?
Deny line item to provider
What is the correct control line used to look up a list of claims for a specific date?
MDI,#########,,firstname, ee,MMYY
What CAS screen are you directed to after you click the CAS /CAS (Old) link in CRM?
MHI
The MHI screen will allow users to view the detail of a claim,which MHI control line is correct for accessing the MHI screen?
A) MHI,999999999,,name(or first initial),ee,999999999
B) MHI,999999999,NAME,EE
C) MHI,999999999,,NAME,EE,MMYY
D) MHI,999999999,,EE,999999999
A) MHI,999999999,,name(or first initial),ee,999999999
Which field on the CAS MHI screen identifies the place of treatment in CAS?
T