Claims
Claim form that is used for Institutional Claims?
What is a UB-04?
Category of benefits a Specialist Office visit would fall under?
What is Professional Services?
These 6 plans offer the Gap Referral.
What is Enhanced Buy-up Kootenai County, Buy-up Kootenai County, Core Plan HSA Kootenai County, Enhanced Buy-up Inside 4 Northern ID Counties, Buy-up Inside 4 Northern ID Counties, Core Plan HSA Inside 4 Northern ID Counties.
MCC Plan
What is MultiCare
Common reasons a claim will deny? (3)
What is the CPT code, Diagnosis code, or Place of Service?
If a code in CPT checker shows excluded, where should we check next?
What is the BQT?
This is an employer-funded account that employees can elect if they are enrolled on their spouse's group health plan. This plan reimburses eligible out-of-pocket medical expenses that were not paid by the spouse's plan, such as copays.
What is the MERP plan?
Plan Code FRHSHDH
What is Faith Regional Health Services?
Where to direct a call for Employment Verification?
Who is Brandi Shaffer-Villalon? (Will also accept phone number or email.)
How to see the extensive reason for a claim denial.
Audit button.
Where do we find if there is dependent maternity on a plan?
What is the Group Home BQT
This plan offers a Provider Waiver.
What is the MCC Plan.
Plan Code GFPCPO.
Whst is Great Falls Public Schools?
15 Calendar Days
What is the turnaround time for a PA?
What is the correct modifier for a telehealth visit?
95, GQ, or GT
CPT code 71045
What is Labs/Diagnostic Testing/Radiology
Providers in Spokane are Excluded
What are the 5 northern counties of Kootenai plans. (Stating all of Kootenai will not get points!)
Plan Code PTCNR.
What is Port of Tacoma?
Name the box where it displays which claims have applied to a selected accumulator.
What is the Benefit Details box?
Frequency Code 6 on a claim?
What is Adjustment of Prior Claim
Member goes for a PCP visit, but the provider is listed as a NP?
What is a specialist office visit?
You can find the link to the excluded provider list for Kootenai here.
What is the Special Information at the top of the BQT?
Plan Code SMCVEBU
What is St. Mary's Hospital & Clinics and Clearwater Valley Hospital & Clinics (Or just St Mary's.)
Services paid from these types of providers are generally paid at the In-network level even though they are not contracted.