Category 1
What is a Flynet appeal?
It’s an automated appeal written based on a specified account balance threshold
For a Flynet appeal, what documents may be required to be submitted to the payer?
Appeal letter and PDR form
In what scenario would you use activity code QRRAS?
If Insurance in ACE is different than what is listed on the appeal letter
How can the documents for Flynet appeals be submitted?
RevSprings, Mail or Fax
In what scenario would you use activity code QRWAS?
To notate an account when documents are physically mailed from onsite
If you are unable to print an Appeal letter from DA screen, what activity code is used to route the account back to the Appeal writer?
QSRTL
Once the Appeal writer completes a PDR form, what Application can you find that in?
VI Web
Who completes the PDR form for Clinical appeals?
Appeals Support rep
Who completes the PDR form for Technical appeals?
The Appeal writer
What program is used to merge saved documents?
Adobe acrobat 2020 applications > Combined Files
Documents must be saved under what format?
Single: FAC-PAT#-DOC TYPE
Merge: MMDDYYYY-ACEUSERID-FAC-PAT#-BUNDLE
How/where do you select the files to be merged?
Click on Add Files > Search for the files in your folder > Hold the Ctrl button > Select all the saved files > and Click Open.
Where do you save the files once merged?
Once the documents are combined, you will save them as a bundled file in your folder.
How do you access the Dispute Summary page?
(F7 + DA)
What action steps take you to the appeal, before saving?
(Shift F4 > For W put a 6, For S put 2 then ENTER twice)
What key will print the appeal?
F7
If there is no F7 key to print, what activity code must be entered on the account to return to the appeal writer?
QSRTL
What tab across the top section of ACE is used to print the appeal?
(Action > Printer Output)
What tab across the top section of ACE is used to print the appeal?
(Action > Printer Output)
What is the file naming convention for Appeal letter?
FAC-PAT#-APL
How do you resize the list?
F9
How do you go forward & back through the pages in the main area of ACE?
F10 & F11
Where is the age of the account located on page 5?
Bottom Center
What page in the ACE workcard contains the primary insurance information?
Page 5
What page in the ACE workcard contains the secondary insurance information?
Page 6