HIPPA/PHI/Guarantors
Patient information needed to verify HIPPA over the phone.
What is Name, Date of Birth and Mailing Adress?
The sum of a person's assets at time of death.
What is an estate?
CRM pool for PB account questions regarding a COB issue.
What is the PFS PB Eligibility Pool?
Form employees fill out to set up balances on a payment plan through withholdings from employee's paycheck.
What is Payroll Deduction Authorization Form (New Payroll Deduction Form)?
Department that handles patient complaints related to care concerns.
What is Patient Relations?
Locations that HIPPA authorization forms can be stored/scanned.
What is Media and OnBase?
Someone appointed by the decedent or the court to oversee their assets.
What is the Executor of Estates?
CRM pool for questions regarding billing a vision insurance carrier.
What is PFS Elective/IOL/Cosmetic/Audiology Pool?
Form patients sign that explains they may potentially receive statements from two separate billing offices.
What is Site of Service (SVC) Attestation Form?
Department that assists patient with confirming and scheduling appointments.
What is the Outpatient Access Center?
Consent that is valid for one year from the date it was signed.
What is written consent?
A legal preceding voluntarily initiated when a person or business is unable to pay outstanding debt.
What is Bankruptcy?
CRM pool for HB account questions regarding diagnosis code review for an owned entity.
What is the PFS HB HIM Coding Review Pool?
Form signed to allow UNC permission to treat patient. Form also assigns financial responsibility (guarantor) to the signer.
What is General Consent to Treatment Form (GCT)?
Assists patients with determining eligibility for financial assistance.
What is the Financial Assistance Unit?
Age parent or legal guardian will lose proxy access to clinical portion of MyUNCChart account.
What is 13 years old?
CRM pool that will review is a caller is stating they have received a refund check in a deceased patient’s name.
What is PFS Estates Pool?
CRM pool for routing provider credentialing questions regarding a PB account with Tricare coverage.
What is PFS PB Gov Team Pool?
Form Medicare beneficiaries sign before receiving services informing them Medicare may not cover.
What is an Advance Beneficiary Notice (ABN)?
Department that operates under a Sliding Fee Scale
What is Pardee Blue MD Clinics?
Guarantor information that should be listed for a child in foster care.
What is the Department of Social Services (DSS)?
North Carolina law that indicates that the spouse is responsible for the expenses of the decedent.
What is "The Doctrine of Necessaries"?
CRM pool for HB account questions regarding an authorization for a patient with UMR coverage.
What is the PFS HB UMR Pool?
Form patients sign to elect not to bill their in-network health coverage and acknowledge they will be responsible for 100% of the charges.
What is the Self Pay Election Form?
UNC Psychiatry Faculty practice location that is strictly self-pay. Location has a separate tax ID from UNC and are not credentialed with insurance plans.
What is the Vilcom Center?