Navigation
These two keyboard commands allow you to navigate back and forth between Applications and Open Work?
What are F11 and F12
All Service ID's, Service Codes or TOS codes must first be defined in this application?
What is the Service ID Description Application?
A Plan is nothing more than this
What is a name and an ID?
These are three situations that would require more than one Practitioner record to be established
What are Multiple primary addresses, Multiple tax ID's, Affiliated with multiple provider groups
This stops a claim from fully processing
What does an Error message do?
This Window Menu option allows you to close all active / open applications?
What is Close All applications
It's the application where you find the Service Procedure, Service Revenue Code and Service Code Conversion Prefix
What is the Class/Plan Definition Application?
The Product application contains the Indicative section, Business Info section, Variable Components section, Capitation Rates Factors section, Notes section plus this section
What is the Components section?
Other than Primary, a Practitioner record can have only one of these addresses effective at a time
What is a Remit address
01, 02, 11, 15, 91
What are claim statuses?
This keyboard command executes a Search when the cursor is in a searchable field?
What is F7
These are also known as the CMS 1500 and the UB04?
What is the Medical claim and the Hospital (Facility) claim
This application/component holds the "PCP Required" check box
What is the Administrative Information (AIAI)?
It is the relationship between a Common Practitioner record to a Practitioner record?
What is One to Many?
These are the three main functions recognized in processing a claim
What are Eligibility, Service Pricing and Service Payment?
This is what is known as the "wildcard" when using the search functionality?
What is the percent (%) key
It's another word to describe a secondary conversion that can be performed at the product level
What is Supplemental?
This is another way to describe the Line of Business
What is a bank account?
IPA, Provider Group, Facility and Practitioner
What are the four types of providers?
This is the choice under the View menu option that allows you to see product information as well as Variable Components and Components
What is Products and Prefixes?
These are the three tabs at the bottom of the navigation pane?
What are Open Work, Favorites and Applications
These are the three base tables that are accessed by Facets during the initial conversion process
What is the TPCT, SECT, RCCT?
These are the three Variable Components?
What is the Deductible Rules, Limit Rules and Service Payment?
This is the type of information link to the Common Practitioner record and the Practitioner record
What is Static Information (Common Practitioner) and Dynamic Information (Practitioner)
These are the two main sections tabs in the Line Items section of the Medical Claim Processing application
What are Line Items and Price Calculation tabs?