A
B
C
D
E
100

what is "\" ?

CX denial


100

which is the extra function key for standalone pricing in central claims

f9

100

What is the function key to depress the claim from image screen 

F2

100

What is the write off % for any other C&R which is not listed for CO state

30%

100

what does total charge minus Allowed amount give you

Write off

200

Which NPI do you use for provider search for a facility claim?

Billing NPI

200

Where do you perform standalone pricing?

CC-AA..Inquiry screen

200

What is the NET ID for central claims for standalone pricing

HOSTCS

200

What is the function key for address in provider search

F9

200

what do you access in SF and DF for allowed amount and approved amount

line of service and claim

300

On which screen you do pricing

F6-Image screen of live session

300

What is the function key for specialty in provider search

F11

300

What is the function key for summary claims inquiry and live screen

F6 in inquiry and F11 in live

300

Where do you see state ID

IT pop up

300

what do you mean by SF-DF-RF being present in one claim






one clam is finalized/ one claim cycle

400

what is the difference between total approved amount and total allowed amount

approved: approved by home insurance

allowed: amount calculated by host 

400

Explain  TOB 137

hospital-outpatient--Corrected claim

400

what is 178 is provider search

practice address

400

you perform default pricing for west or central

west

400

what do you mean by 80 and 84 record

80: original

84-adjusted

500

Explain DF msg code 0425?

Non covered charges

500

What is PRC SYS WP in DS pop mean

standalone pricing/ WGS pricing

500

What should be the WGSP indicator in standalone pricing

Y

500

what is SF msg code 1002 ?

Provider not eligible for reimbursement

500

what should be the allowed amount if the exception message is CXT DENIAL 

0

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