A
The group number for all Medicaid insurance policies.
What is ME Code?
A health insurance policy that is managed and administered by a private company, usually though an employer.
What is commercial insurance?
The policy number for all Medicaid insurance policies.
What is the DCN number?
The commercial insurance policy specific to WMMC.
What is BCBS WMMC?
A secondary to Medicare that pays the 20% of medical claims left to the patient.
What is a Medicare Supplement?
The Medicare Advantage plan that works with Medicaid to pay medical claims.
What is UHC Dual Complete?
The indication on a Medicare Advantage card that lets registrars know the plan is a replacement insurance.
What is Medicare RX?
The insurance selection for any BCBS insurance policy that has an out of state indication.
What is BCBS National?
The insurance that will be loaded as primary insurance with most supplement insurance policies.
What is Medicare?
The insurance name option in Cerner that allows for insurances not available in Cerner to be filed.
What is Misc Commercial?
The insurance available for patients that meet qualifying factors such as poverty, pregnancy, and disability.
What is Medicaid?
The number on the back of UHC insurance cards that identifies who the medical claim should be submitted to.
What is the EDI or Payer ID?
The rule set by insurance companies to assign the primary insurance for dependents when multiple policies are held.
What is birthday rule?
The policy number for Ambetter insurance.
What is the Member ID # or U number?
The indication of the payer on the back of the insurance card.
What is the claims address?
The insurance available to university students through the college.
What is UHC Student Resources?
The name for letters that are to be included in the policy number. Usually seen on BCBS insurance policies.
What is BCBS Prefix?
The 2 insurance companies that are commonly known to have Medicare Advantage, Medicaid, Supplement and Commercial insurance policies.
What is BCBS and UHC policies?
UHC 87726 has multiple __________ and registrars must select the correct one to avoid a denial of the medical claim.
What is billing addresses?
The primary insurance if a patient had UHC Medicaid and UHC Commercial insurance policies.
What is UHC Commercial?
The insurance company that is related to preferred care.
What is BCBS?
The 4 Medicaid managed care plans.
What is Healthy Blue, Home State Health, Show Me Healthy Kids and UHC Medicaid?
The website that should be checked for all Medicaid insurance policies.
The Blue Cross insurance policy that has a prefix of an R and is specific to one group of employees.
What is BCBS Federal?
Medicaid insurances that will not be filed by WMMC.
What is Out of State Medicaid?