MEDICAL RECORDS
All the ways to request medical records.
What is Fax/email/phone call/portal
The place you would determine how and where to obtain pre authorization for BCBS plans.
What is Medical Policy & pre-certification/pre-authorization information for out-of-area members.
https://www.bcbsil.com/provider/standards/standard-requirements/mppc
This can speed up browsing.
What is clearing cache.
This person ALWAYS leaves the grocery store with Yasso Poppables.
Who is Lauren
This is the TAT for standard BV's.
What is 24 hours.
This client/site refuses to send medical records.
Who is Willis Knighton.
This is the process for this denial code: OA252
What is Attachment required to adjudicate claim.
EX: Request Medical Records
This is what you do if you are encountering issues with your Teams application.
What is going through the steps to reset the application.
This is the only person on the team who is a Dunkins fan.
Who is Erica.
The place where you go to calculate a patients' federal poverty level.
What is Frontrunner.
https://one.frhc.com/spifcasemanagement/FedPovertycalculator
MEDRECSINCEP requires
What is requires manual review, appeal.
This payor is set to deny 0118U automatically through the payor portal.
What is UHC (United Healthcare)
This is the function that you click to manage recurring tasks with specific time requirements, to organize and keep track of your daily responsibilities.
This person had a mushroom mullet.
Who is Morgan.
This is how you would look up the correct UHC policies in Retriever.
What is the PO Box.
This client/site requires a signed Test Requisition Form before providing medical records.
Who is Beth Israel.
On the claim form this is where you would put the code for a corrected claim.
What is (box 22) "Resubmission Code"
Supports our company's initiatives around employee well-being by promoting healthier work habits and encouraging mindfulness in our daily work routines.
What is Support for Well-being Initiatives in Viva Insights
This person collects Willow Tree figurines
Who is Samantha
This is the most accurate portal to verify Commonwealth Care Alliance.
What is Availity.
This person set the Medical Records Department up with Virginia Common Wealth University portal access.
Who is Stephanie Gibbson.
This is the order in which to organize the documents to send out for a PA request via fax.
What is:
1. PA request form
2. TRF/Manifest/Order form
3. Lab test results
4. LMN/Medical records
5. Trugraf/Trac information letter
This application supports key email information.
What is Copilot.
This Cartoon character is Lina's favorite.
These are the steps that you take to get to the order screen in Retriever.
What is:
1. Add accession # in the search bar.
2. Click on the order ID #.
3. Click on review order.