A
The insurance that is based on income needs provided by the state of Missouri.
What is Medicaid
Self pay encounters always require the involvement of this WMMC employee.
What is the Financial Counselor?
DOS
What is Date of Service?
The amount of Medicaid insurance policies allowed on an encounter.
What is 1 Medicaid Policy?
Capital letters should always be used when entering this number.
What is the policy number?
The locations I can communicate to other WMMC employees about the encounter.
What is encounter comments?
Verifying the patient's insurance coverage is active for the DOS to ensure WMMC will be reimbursed for the services rendered.
What is eligibility?
The number of Managed care plans offered by the state of Missouri.
What is 4 Manage care plans?
The insurance that should always be removed from the encounter.
The group number for all Medicaid insurance policies.
What is the ME or Plan code?
DCN number
What is the Medicaid policy number?
65+
Disability
End Stage Renal Disease
What are Medicare Qualifications?
80% - 20%
The part of Medicare that represents inpatient services.
What is Part A?
The subscriber for all Medicaid and Medicare insurance plans.
Who is Self?
The insurance that will pay second on a medical claim.
What is secondary payer?
The website that should be reviewed for all Medicaid insurances.
What is eMoMed?
The insurances that will have eligibility checked date of service due to the possibility of daily policy changes.
What is Medicaid and Medicaid managed care plans (Healthy blue, UHC of Midwest, Show Me Healthy Kids, Home State Health)?
Insurance that is always a payer of last resort.
What is Medicaid?
The insurance plan name that will be searched for Straight Medicaid.
What is Mo Healthnet?
Medicaid insurances that WMMC does not file.
What is Out of State Medicaid?
Acronym for the number on the back of the insurance card that indicates the insurance plan to be selected.
What is EDI or Payer ID?
An insurance that replaces another as a payer.
What is a Medicare Advantage?
Who is the Guarantor?