AR 101
This comes from an insurance company showing what has been paid and what is owed by the patient
An EOB
If a patient has more than one insurance policy, this explains which one is primary, secondary, tertiary
Coordination of Benefits
This where you can find claims that are assigned to you
Worklist/ My Claims/ Claims inbox
The "Training Guides" can be found here
Microsoft Teams channel> Revere Medical AR Team
If I need to call out sick, this is the primary person that needs to be contacted
Ms. Tara
What is the resubmission code for a corrected claim?
7
A system that contains a digital version of a patient’s paper chart (examples Meditech, Cerner, Epic, Urochart)
An EMR/EHR
Where do you go to create an Athena case?
Support Success Community- Support Cases
If a denial is unclear on the EOB and /or portal, the next step would be to
Call the insurance
This is where you can go to view any company updates, news, and events
Revere Connect
This is the term for the person who pays the premiums for an insurance policy
Policyholder/ Subscriber
This rule protects the patient’s health information
HIPPA Privacy Rule
Quickview
This workflow outlines the steps if patient contact is required
ADNPATIENT
This bi-weekly task is required on your last scheduled day of the pay period
Approve Timecards
This is the name of the universal claim form used to submit outpatient charges
CMS-1500 (HCFA1500)
If both parents cover the child as a dependent on separate insurance plans, this determines which is primary
The Birthday Rule
These holds typically fall to what worklist? AUTH, REFPROV, REFRL, BAC
Rev Pref RPA/ Rev Perf Hospital POS
This is required when making an adjustment
A current EOB
These 3 things are what Revere's team culture is built on
Trust, Quality, and Ownership
Prior to submitting claims, this organization/technology scrubs a claim and checks for errors then electronically submits claim information to the payor
Clearinghouse
If a retired patient with Medicare also has coverage under a working spouse plan, the primary insurance is
The Spouse's Plan
This section shows group level information for a payor and if a group or provider is participating or not
Payer Enrollment table
For those working Brown/Hawthorne TSA claims, what is a common kick we would NOT use for this group?
PROVHOLD
Before the rebranding to Revere Medical, this is what our company was named
Rural Healthcare Group (with investment from Kinderhook Industries)