MedRisk 101
This person created MedRisk in a college class in order to be a liason between providers and insurance companies
What is the Sedgwick EVS lookup?
The meaning of QIL
What is Quattro Inquiry Log?
A feature we use for Sedgwick to find if a client has termed
What is Get Client Pricing Status?
What is the state map?
The president and CEO of MedRisk (He was also the CEO for Broadspire)
Who is Ken Martino?
The tool we use to print EOBs
What is Print EOBs?
A tool we use to look up authorization
What is the PM Search?
Feature used to verify if a code priced correctly
What is the Fee Schedule lookup?
The individual we would escalate a write off to if the amount was $600
Who is our TL?
The VP of Provider Management
Who is Jenn Hermann?
The feature we use to see the history/workflow of a bill
What is the Last Assigned To (LAT)?
A task we work when bills have aged 180 days
What is Aged AR?
Used to look up a bill to find why it was rejected
What is reject reason?
The hub were we find the process of rebills, recons, and provider exclusions
What is the client questionnaire?
In what year was MedRisk founded?
What is 1994?
The path a bill goes through to process correctly
What is the happy bill path?
A feature used to move a package to a different case
What is Package Assignment?
The purpose of Medata
What is to reprice bills?
The purpose of the Consolidated Carve Out List
What is verify an employers contract with MedRisk?
MedRisk's core values
What are innovation, one team, leadership, accountability, and customer focus?
The breakdown of the START note
What are source, topic, analysis, resolution, and tell the provider?
The systems used to create Quattro
What are MedManager, MIDAS, ProDash, and SalesForce?
The top 3 carriers
Who are Gallagher Basset, Liberty Mutual, and Sedgwick?
The amount of points it takes to be on a written warning
What is 8?