States/HP Names
Appeals
Doc Types
Claim Numbers
Miscellaneous
100

The HP name for FL

What is Sunshine?

100

Dispute Form Only

What is the appeal rule for AR, FL, IA, LA?

100

0H

What is an adjustment?

100

The first character in an Amisys claim number

What is a letter?

100

Christa Helm

Who is our Auditor?

200

The HP name for OH

What is Buckeye?

200

The symbols that if marked, does NOT count as an appeal

What are asterisk * and plus+ (for Fidelis) symbols? 

200

0N

What is a COB adjustment?

200

The letters in the 7th spot of an Amisys claim number that cannot be keyed. 

What are C, R, W? 

200
The TC code for downtime

What is 1906?


300

The HP name for GA

What is Peach State?

300

An exclamation mark

What symbol indicates an LOB has outliers?

300

Corr Outlier

What is 3E?


300

The first three numerical characters of a claim number

What is the received julian date?

300

The TC code for audit review

What is 6594?

400

The HP name of KA

What is Sunflower?

400

Appeal Verbiage unless ADJUSTMENT FORM is attached

What is OH?

400

Member Reimbursment

What is 1I?

400

5 numbers, 2 letters, 5 numbers

What is a Facet/Fidelis claim number?

400

Farmington Site Director

Who is Dawn Komar?

500

The HP name for NC

What is Carolina Total Care?

500

The 7 states/HP highlighted yellow

What are CA, CX, FP, MI, MP, OK, & RH

500

1P

What are Stock Checks?

500

The letter Z in an Amisys claim number

What is the alpha year indicator for 2026?

500

Elizabeth "Betty" Brinn

Who founded Centene?


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