Claims
This claim form is used for out patient claims
What is a 1500 form
This run screen shows negative balances
What is CP0700
The system used to document calls
What is Omni
When a provider calls, what is needed to HIPAA verify the provider?
Provider's Full Nam and NPI/orTIN
HealthNet Medicare Plans are Part A, B, C or D?
What is Part C?
What does it mean if the claim starts with an 'R' instead of a 'Q'?
R = 2018 claim
Q = 2017 claim
What screen IQ0100 can show you.
What is Member information
Why would you not go to Emdeon to fax a copy of the provider's EOP.
If the provider is set up with electronic deposits, they would not have an EOP in Emdeon and instead be transferred to Payspan.
These are Trillium's two employee committees
What are Diversity & Safety
These are three services covered by Medicare Part A
What are Rehabilitation, Impatient Hospitalization, and Inpatient Speech Therapy
This number is used to describe an emergency admission on the UB40 claim form
What is the number 1
This screen shows basic provider information
What is IQ0200
The program used to view a rejected claim image?
What is Filenet
When you wish to log into Emdeon, where to you go to access the program?
What is SharePoint - Operation Resource Page or your favorites bar
Medicare Part D covers what?
What is Prescriptions.
The term EOP means this
What is Explanation of Payment
IQ0880 can show you this?
What is Member Details Inquiry
This program contains the most information regarding claims and is used to process claims.
What is Amysis
When you need to go to Cornerstone to take an online training, where do you go to access Cornerstone?
CNET
How many HealthNet Medicare plans are there?
What is 5. Aqua, Violet 1, Violet 2, Violet 3 and Ruby
Which type of provider is unable to appeal a claim?
Participating Medicare
O362 is this date when present on a claim
What is December 28, 2015
The Program used to view a provider's rejection letter
What is Emdeon/Change Healthcare
When you are needing to look up a member's benefits, what 2 documents on the public website are used as a reference?
Summary of Benefits (SOB)
Evidence of Coverage (EOC)
This is the motto of the Department of Health & Human Services.
What is Improving the Health & Well being of America