Provider Screens
Member Screens
Claim Processing Screens
Provider Status Codes
Claim Adjudication Status Codes
100

  • Shows all provider demographic information ( Name, default address, degree, specialty, phone number)

  • Can search by Amisys ID, Name, NPI

What is CR0110 – Provider Maintenance Credentialing

100

  • Can search for member by name, Amisys ID, or Medicaid ID

IQ0100 – Member Screen

100

  • Search for benefits

  • Information that is given includes: locations, treatment type, codes included, authorization requirements 

What is BE0100 – Benefits Definition

100

PARTICIPATING HOSPITAL

What is IH

100

– System Pay

What is 10

200

  • Shows all affiliation information for a provider including TIN, NPI, group practice #, pay class, cap info…everything that is used when paying a claim

What is PR0300 – Provider Financial Affiliations

200

Results show Amisys ID, member name, address, and D.O.B.

what is IQ0100 – Member Screen

200

  • Search for definition of procedure codes

What is IQ0400 – Procedure Inquiry

200

PARTICIPATING PROVIDER - PROFESSIONAL

What is IP

200

– System Pend

What is 30

300

  • Use drop down to choose what type of address you need (provider, group, member, ect.)

  • Shows all address types listed ( Default, Financial, Office)

What is IQ0610 – Address Inquiry Screen

300

  • Results show all member eligibility information

What is IQ0800 – Member Eligibility Inquiry

300

  • Gives the description of what the benefit package is 

  • Lists the riders that can be included in the package

BE0300 – Benefit Package

300

NON PARTICIPATING - PROFESSIONAL

What is NP

300

 – System Deny

What is 50

400

  • Ability to add, void, term, or move an address

  • You can also see address history from this screen

what is RF0600 – Address Screen

400

  • Can narrow search results by entering date spans, treatment type, claim status, provider #, or specific procedures

What is IQ1300 – Claims by Member

400

  • This screen shows a snap shot of member’s benefits on a particular date.

  • Lists Benefit package, riders, components, individual benefits, copays, ect

IQ3100 – Benefit Limitations Inquiry

400

NON PARTICIPATING – SPECIALIST

What is NS

400

-Manual Pay

What is 11

500

  • Results give name, address, # of affiliations, and default address

What is IQ0200 – Provider Search -

500

  • Used to look up coding in Amisys

What is RF0200 – Code Set

500

  • Shows the allowed amount for procedure and rev codes that can be billed under a particular fee schedule

What is IQ3400 – Fee Schedule Inquiry

500

NON-CONTRACTED PROFESSIONAL

What is OP

500

– Manual Pend

What is 41

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