Types of Adjustments
Terms
SOPS
Claim Processing
Misc
100
Needing additional information
What is a Closed claim?
100
DOS
What is a Date of Service?
100
When an INN provider bills family more than the responsibility
What is the Balance Billing SOP?
100
The dollar amount the provider bills
What is the Total Charge?
100
I am #1
Who is Vbins?
200
We take money back from multiple claims
What is a bulk recovery?
200
What helps you understand a claim denial?
What is a remark code?
200
Guide for routing purposes
What is the Issue Resolution SOP?
200
The amount that UHC and providers agree upon for services
What is the allowed amount?
200
A summary that is sent to families of claim processing
What is an Explanation of Benefits?
300
We take a payment back from a single claim
What is an over payment?
300
TIN
What is Tax Identification Number?
300
SOP to assist with claim issues
What is the Claims Advocacy? 
300
The amount that is not agreed upon
What is the not covered amount?
300
Routing for Balance Billing
What is UNETRR2/225/COT/BBL?
400
Claim was processed and taken back
What is a rejection?
400
NPI
What is National Provider Identification?
400
This SOP helps you navigate ISET
What is the ISET Screen Reference? 
400
The split amount in which UHC and the member pays
What is the coinsurance? 
400
Send here for claims review
What is UnetRR2/225/DRW?
500
Known as a closed or denied claim
What is reconsideration?
500
The 5 digits after the TIN
What is a suffix? 
500
A reference that helps you determine what services can be preventive
What is the Preventive Care Services Coverage Determination Guideline?
500
INN provider cannot bill family for
What is the contractual adjustment? 
500
Who, What, When, Where, Why
What the 5 Ws?
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