Authorization to Release
This code is linked to the DD2870.
What is 087?
Legal parents and guardians may normally receive claim information for these beneficiaries.
What are dependent children under 18?
What is personal identifiable information?
This is the claim form for overseas providers.
What is a CDW?
This is a claim that cannot be processed.
What is a removed claim?
This code is for Power of Attorney.
What is 697?
This means no information can be given even if the representative has Authorization to Release.
The acronym for this is PHI.
What is protected (personal) health information?
This is where we check to see if a provider has AOB.
What is the claim form?
These codes tell us what a provider did.
What are CPT & HCSPCS codes?
This code is for access to information on the portal only.
What is 070?
This form will allow representatives to receive claim information over the phone.
What is the DD2870?
The acronym for this is HIPAA.
What is the Health Insurance Portability and Accountability Act?
This is the claim form for non-institutional providers in the US Territories.
What is the CMS-1500?
This is a correction to a claim that has been processed if at least 1 cent was allowed.
What is an adjustment?
These codes allow representatives to get claims information over the phone.
What are 087 and 697?
This is one reason the BSC must be so vigilant with claims information.
What is HIPAA?
The acronym for this is AOB.
What is Assignment of Benefits?
This is the claim form for institutional providers in the US Territories.
What is the UB-04?
This happens if a beneficiary or provider is overpaid by $110 or more.
What is a formal recoupment?
This code allows a representative to change a claims address.
What is 697?
This is the workaround if a caller does not have Authorization to Release.
What is a verbal authorization?
The acronym for this is ICD-10. (Never on a quiz!)
What is International Classification of Diseases-10th edition?
This claim form automatically grants providers AOB.
What is the CDW?
This is WPS' internal number for images.
What is an ICN?