What's the status, Doc?
A.K.A.
What's the scenario?
Who ya gonna call?
CPT Code Basics
100

I make the final say if Level 1 cannot.

What is Medical Director Review/O status?

100

Our Interpreter Line

What is CQ Fluency?

100

My health plan says that they never received a correspondence. I would like for this to be handled accordingly.

What is re-download/re-export request (Janus)?

100

A caller is inquiring about registration and access for online prior authorizations.

What is Web Support?

100

A code for an MRI of the lower back without contrast.

What is 72148?

200

You have a limited amount of time before I become an adverse decision.

What is Unable to Approve/1 status?

200

CareCore and MedSolutions

What is eviCore?

200

I tried to initiate a case, but the MD/Site is showing out of network when the health plan told me that it is in network.

What is initiating an eligibility case?

200
A procedure was performed beyond the allotted time frame for a retro authorization.

What is Claims?

200

A code for imaging that covers the area from the skull to the thigh in conjunction with a CT.

What is 78815?

300

I should rarely be left in this state on a case.

What is N status?

300

Recognition and gratitude for your hard work and dedication.

What is Standout Programs?

300

You receive a phone call from an AI representative wanting to build a case, but the rep becomes silent after two attempts to proceed with the call.

What is reading Automated Caller Scripting?

300

A speech impaired caller would like to provide information regarding a case.

What is TeleRelay?

300

A code for an MRI of the ankle, knee, or hip with contrast.

What is 73722?

400

I am an approved case, but I am on the fence about the provider being delegated.

What is F status?

400

The 4 W's when journaling a case.

What is "Who called", "Where from?", "Why did they call?", and "What did you do for them?"

400

We both work for the same company, but I cannot have you initiate a case for me.

What is Employee PHI Restricted?

400

A caller is inquiring about home health.

What is Evi platform (EP)?

400

A code for a CT scan that can be used for imaging of the eye and ear cavities with and without contrast.

What is 70482?

500

I am special because I am genetically specific.

What is I status?

500

A tool that detects keywords and phrases during live calls.

What is Automated Quality Management (AQM)?

500

I am a member and would like to have a reference for my x-ray procedure.

What is a Horizon Tracking Number?

500

A case that has been admin denied.

What is calling the HP?

500

A code for a stress test with a single study.

What is 78451?

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