Manual Processing
Duplicate
Numbers
Blue Cross Trivia
BOL
100
This is required when manually posting BC paid amount.
What is the $ override
100
I am a claim suspending 133 and I am not a duplicate, override me with what code
What is "&" override
100
The number of managers that report to Jeff Syphurs
What is 4--4…Louphelia Simmons, Vanessa Stroud, Doug Wilson, and David Thrasher
100
This Blue Cross newsletter is published bi-weekly and provides company news as well as classified ads offered by associates
What is Over Coffee
100
If you are viewing EXCL on BOL, you are viewing any ________ made by the group
What are exclusions
200
This field/amount cannot be changed on an ITS Claim
What is the A savings amount/field
200
I am one of two claims in suspense at the same time, one of the claims will suspend this
What is 252 suspense
200
Approximately how many people are employed with BCBSAL
What is 3,800
200
This is Blue Cross and Blue Shield of Alabama’s Slogan
What is The CARING COMPANY
200
If you need to find out the office visit copay on a contract, you would check this 4 letter BOL Category Code
What is STCO
300
I am manually processing an OIC secondary claim with an E savings amount, what Mm action code would I use
What is 660
300
When checking for a duplicate on an ITS claim, this Q screen will help to determine if the claim is a duplicate or not
What is QITS
300
What MRO screen will tell you the number of services allowed per day for a procedure
What is QREL
300
This Blue Cross website provides information on health topics, latest health news, and medications
What is www.behealthy.com
300
If you are checking outpatient surgery benefits you must check category code OPSR. If OPSR states that outpatient surgery is subject to a copay, what category code would you check for this copay amount
What is OPCP
400
I am a Cross claim that you need to manually process, name 2 of my fields you must post information in
What is BC Rider, BC Paid, BCDEDUCT, BC FXDCOPAY, or BC % COINS
400
When checking for a duplicate on a Cross claim, you should check ITFI to compare these two pieces of information
What is Dates of Service and Procedure Codes
400
What is the minimum number of claims reviewed by the Customer Quality Area each week per associate
What is 50
400
This is the corporate office address of Blue Cross and Blue Shield of Alabama
What is 450 Riverchase Parkway East
400
Walmart only allows 1 routine ultrasound per pregnancy. Where is this information located on BOL (category code)
What is EXPP
500
If you post a 952 in Query Answer/Reject Reason with an "M" in the MMSPC code field, you are manually processing in what system
What is Major Medical
500
ITS follows the same duplicate logic that Regular Business claims follow except for provider number. Since ITS uses generic provider number on shield, ITS reads Provider ---------
What is Specialty
500
What basic suspense code involves two surgeries on the same claim and you must check major minor codes or review for possible assistant surgeon
What is 138 suspense
500
This organization was first established by BCBSAL to help provide health insurance to Alabama’s uninsured children
What is the Alabama Child Caring Foundation
500
These 2 services are considered true Major Medical Services
What is What is Allergy testing and treatment, ambulance, DME, drugs, mental nervous, chiro, PT, ?Cardiac Rehab
M
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