Claims
Benefits
Medicare
Documentation
Billing
100

This tab is used to find the amount Medicare paid

What is COB tab?

100

Benefits always covered INN and OON

What is Urgent and Emergent?

100

This covers prescription drugs

What is Medicare Part D?

100

Subject used for emailing information.

What is emailing materials?

100

Sent to set up checking or savings deductions

What is APO form?

200

Needed to pull a claim up in content manager

What is the Micro Image ID?

200

Benefit used for diabetic nail trimming

What is podiatry services - routine?

200
This covers skilled nursing, home health, and other inpatient services.

What is Medicare Part A?

200

Subject used for when member is questioning MRI

What is benefit question?

200

Tab used to request duplicate bill

What is request?

300

This tab is used to check the member and provider information on a claim

What is Member/Provider Tab?
300

Benefit Category used for tier 3 medications

What is Pharmacy Services?

300

This covers doctor visits, therapy services, and other outpatient services.

What is Medicare Part B?

300

Medical Product

What is reason?

300

Tab used to see when an invoice was sent?

What is billing summary?
400
This tab will give you information on the payment information

What is remit?

400

Routine Physicals are covered under what benefit

What is preventive services?
400

Medicare Advantage, Medicare risk plan, or Medicare replacement.

What is Medicare Part C?

400

Education Provided

What is priority field?

400
Tab used to check for LIS and EPIC

What is split billing?

500

Tab used to find the hospital on an ITS claim

What is ITS Hosp tab?
500

Category used for SNF benefit

What is Inpatient Services? 
500
Administers Medicare and Medicaid 

Who is CMS?

500
DOS, Provider, Total charge, and Claim #?

What is the summary of a claim?

500

Routing group used for billing questions

What is bg-ac01? 


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