payer codes
A code that is hard coded into the system.
What is Defined?
This is needed when Medicare is Secondary.
What is MSP Type?
This allows to search a specific Dos
What is Selection?
This allows me to update the patients Demographics.
What is Main?
This allows you to see when the next bill will generate.
What is Billing?
The Bcbs insurance payer code is for used for patients who live in Texas but are seen Georgia.
What is GBSOS?
This insurance can be the only insurance on the Bill stream.
What WOR?
This allows me to pull up Med RCS
What is Discovery?
This allows me to update Payer Information.
Payer
This allows you to view the dates of accident and illness.
What is Dates?
this payer code is used for Medicare Replacements patients that are seen out of State.
What is MEDOA?
These payers can only be billed electronically.
What is Medicare & RRM?
This allows to view all the transactions that took place in this account.
What is Account-Tans?
I use this if there is a bad address.
What is override?
This allows you to see more information about the diagnoses.
What is main?
This Blue Shield payer code is used for Texas patients which don't fit the mask assigned to a BS payer Code
What is TXBIS?
These two payers can't be on the same bill stream?
What are Med & Medicare Replacement?
This allows you to see a specific transaction for a specific charge
What is CHG-Trans?
This allows me to see what time the Patient went in and if they were admitted.
Info-Exten
This allows you to view/add modifiers or see if the claim was electronic or hard copy.
What is Exten?
This a Template used for payers for which we can bill electronically but the payer address stills need to be manually put into the system.
What is Global Neic?
This Insurance is only used for Physician services in the states of California, Idaho & Washington.
What is Blue Cross?
This lets you see you see if the client has a discount for self pay patients.
What is SP- Reduct?
This is used for Workers comp insurance.
What is Employer?
This allows me to find the Claim Number.
What is CRN/RA