GCP
Medicaid Groups have this in their group name.
What is MCD?
Defines the different types of rules that will be applied to the product for billing, claims & UM Processing.
What is Product Component (PDBC)?
Only added to Facets by Leads.
What is New Service IDs?
The table that contains the prefix for Procedures, Revenue and Service Code Conversion.
What is CSPI or CSCS table?
SERL
What is service related parameter?
A subset of the membership within the Group.
What is a subgroup?
Defines what service payment (SEPY), limit (LTLT) and deductible (DEDE) rules will apply to the claim.
What is Product Variable Component (PDVC)?
The ending letter for encounter service IDs in a professional setting for Medicaid.
What is "E"?
The new Medicaid Service Conversion Prefix.
What is 0003?
SEPY
What is Service Payment?
The application that allows users to establish plans and products for members of a group.
What is Class Plan definition (CSPI)?
The component type for Procedure UM definition.
What is IPMC?
The ending character for Facility auth required services IDs for Medicaid.
What is "2"?
Conversion application that converts procedure codes into service codes.
What is Service/Procedure Conversion (TPCT)?
PDBC
What is product benefit component?
Can only be linked to one Product
What is Plan ID?
Table used to define limits based on a member's lifetime.
What is Limit Table (LTLT)?
Surgery Service IDs may begin with this.
What is "Z"?
Defines additional ways for FACETS to convert procedure codes and used to customize the benefit packages for the product.
What is Supplemental Procedure Conversion (SPCT) table?
DEDE
What is deductible rule?
It also defines certain eligibility information and billing parameters.
What is Class ID?
Table where all prefixes and descriptions are entered.
What is Component Prefix Description (PDPX) table?
Services that DR05 is used for.
What is DME Rentals?
Defines additional ways for FACETS to convert revenue codes for customized benefit packages for the product.
What is Supplemental Rev Code Conversion (SRCT) table?
SEDF
What is Service Definition?