WC
This rejection code is used by Intervention
What is L5018?
Correspondence that causes us to treat a subro call as urgent
What is a Letter of representation?
If you come across these batch categories they must be sent to a tech
What is K8/K9?
insurance pays for an insured’s medical and other injury-related costs, regardless of which driver was at fault.
What is PIP?
ISO
What is 5k and over on pending claims?
We must have EM OA and a Date of Accident
What two things in Highview do we need to consider something work comp?
Events in which there is no other insurance or attorney
What is False Positive?
If My Work hits the 7-10 day limit we would make one more of these before closing
What is an outbound call?
120 days
What is the general timeframe for timely filing?
TPL INTAKE PC // WC INTAKE REVIEW // SUBRO WC PC //
what is the new documentation format for Insinq
Occurs when an injured employee reaches a state where his or her condition cannot be improved any further (full name, not the acronym)
What is Maximum Medical Improvement?
The Insinq location for routing new information on an existing subro case
What is 9708SUBRO?
Where you find the SCCF on a ITS claim in OCWA
What is the Blue Card link?
What does ISO stand for?
Insurance Services Office
No MEDPAY
What is no accident
The only time health care is required to make a payment on a WC case in MN
What is disputed?
The ID we type in the Required field when viewing correspondence in the Highview cabinet
What is 86?
Found in in the Highview tab, this contains imaging of correspondence
What is OT - OTHER?
What does ERISA stand for?
Employee Retirement Income Security Act
What is the 3rd step in the 4 step processs
What is Check Insinq for additional information
Codes that are never used in WC when searching the Highview (need all three)
What is 119, 149 and 35?
These are the six items we must include in emails to analysts when working correspondence
What is Inquiry Number, Member ID, Member Name, Case Number, Claim Number(s) & Adjusted to pay, partially pay or to deny?
No-Fault insurance involved, including auto accident/other
What is occurrence code 02?
code 17000
What is the access code for government on FEP
What is the DX code used for duplicate OPIS notes
T1490