Insurance
Insurance that is always consider as Primary except if there's an HMO or it's indicated as secondary in CMS
Medicare
Screen where we can access credentials or logins for insurance portals.
Web Log Ins
The standard unique health identifier for health care providers
National Provider Identifier(NPI)
This document explains how your insurance processed the claim for the services you received
Explanation of Benefits (EOB)
Place of service we use for claims billed to Elderserve
POS 13
Insurance that is always last or never be primary if other insurance is available
Medicaid
Screen where we create payments
Post Payment
The contracted amount between the provider and the insurance
Allowed amount
Meaning of OON
Out of Network
CPT we use if the insurance is Medicare
Outpatient
What are the types of Insurances?
Government, Commercial, No Fault and Worker's Compensation
Screen where we create billing packages
New Package
Also known as procedure code, it’s a 5 alphanumeric character code that identifies what service the patient received
CPT Code
What should we file/submit if we don't agree with a decision made by the Insurance?
Appeal
Types of documents we receive from doctors or facilities that contain patient information and the procedures performed during their visit, which we enter into our system.
Superbill
Insurance that has an insurance number start with JLJ
Amerigroup Blue Cross Blue Shield (BCBS)
Screen where we look for created claims
Lookup Claim/ F3
The responsible for paying the patient's account bill
Responsible Party Carrier (Insurance)
The percentage of costs of a covered health care service you or your 2nd insurance pay (MDCR 80%, MEDICAID 20%)
Co Insurance
CPT we use if the insurance is Aetna HMO Medicare
Inpatient
What is the plan type of this insurance?
Aetna: 132459775245
HMO Medicare
Screen where we look for created payments
Payment Lookup
Meaning of HIPPA
Health Insurance Portability and Accountability Act
A unique code associated with your insurance plan. This is use to track and process insurance claims and cos
Policy or Insurance number
When creating a package, this button should be checked if the superbill lists multiple patients on one page
Not Separated