Adjustment Codes
Patient says "I lost my job"
Hardship
Who on the team processes patient ARX refunds?
Mayte
Who on the team processes patient MGL refunds?
Pam
What is the prefix for women's health accounts?
W H
What is needed in the Subject line to send message securely in Sales Force?
P H I or 'secure'
FPL 201%-300% = PT OOP of?
$100
What is the maximum oop expense for Genesight test unless other wise told to patient?
What adjustment code is used for patient with a balance greater than $295 and an FPL of under 400%?
INSMFAP
What is the cash price for Prequel and Foresight Carrier Screen? *
$349
*pricing can be changed depending on special pricing with clinic
What number of PHI is needed to be incompliance with HIPAA and discuss patient account with HCP?
3
What code is used when a Myriad Employee or spouse has testing done?
EMPLOYEE
What is the payment plan payor for ARX?
ARXPP1For12
Patient calls to discuss cost estimate ?
Transfer to customer services
Who processes patient refunds for WH accounts?
David
What is the Language line billing code?
5001
What adjustment code is used on accounts where the patient did not receive a cost estimate?
NOCOSTESTIMATE
VOI 1 Means
Correct insurance info needed-
check PAYOR, Member ID Number/Group
VOI 2 Means
Primary ins needed - there may be secondary ins active on DOS or payors may need to be switched
VOI 3 Means
Coordination of Benefits is needed - pt will need to call insurance
What are our hours of operations?
6 am to 6 pm MST Monday - Friday
Patient has two accounts with the same DOS and the account balances DO NOT exceed original balance, what code is used to adjust ?
CONSOLIDATE
Financial Assistant Applications are sent to what email?
FAP@myriad.com
What is the MyRisk update cash price? (DPO)
$249
What code is used when a patient pays cash price of $199 and is still billed $150 ?
WHCASH
Make every call great by...
Hint 5 steps
Opening Statement, Acknowledgement, Solution, One-call Resolution and closing statement