Claims
Can we provide payment information to a caller for a claim that is in status 11?
No, we can not
What does ASO stand for?
Administrative Services Only
What program would we use to find the exchange id for a new member who is not yet loaded in Facets?
MAT
In the song "Twelve Days of Christmas" what is given on the seventh day?
Swans a-swimming
Where was paper invented?
China
How long does a provider have to submit an original claim to PacificSource
1 year from the date of service
What is DME?
Durable Medical Equipment
Where would we look to find a claim that was submitted electronically?
RDV Raw Data Viewer
What sport was traditionally played on Boxing Day before it was banned?
Fox hunting
what was Nike originally called?
Blue Ribbon Sports
On what tab in claims inquiry would we find the check number?
Remittance
What is the difference between EOB and EOP?
EOB is for members, EOP are for Providers
Where would we find a claim that was faxed to PacificSource?
OnBase
What fairy tale served as an inspiration for the first gingerbread houses?
Hansel and Gretel
What did Lamborghini make before cars?
Tractors
What tab in claims inquiry would we find the claim receive date?
Claims Information
What is the acronym for Health Insurance portablity and Accountability Act?
HIPAA
What department would take ongoing premium payments for an exchange policy?
Individual
What is the traditional birthstone for December?
Turquoise
Who invented the first computer?
Charles Babbage
How long does a provider have to submit a corrected claim?
180 days from the original process date
What does HCPCS stand for?
Healthcare Common Procedure Coding System
What program would we use to check on the status of a prior authorization that a provider submitted to PacificSource?
CT Viewer
When is Miranda's Birthday?
Dec 13
Where was the Philips screwdriver invented?
Portland, OR