Transfers
What kind of transfer means you will release the call, without speaking on behalf of the caller?
Cold Transfer
Which identifier is a unique 10-digit identification number issued to health care providers in the US. It is national in scope and unique to the provider.
An NPI!
National Provider Identification
Primary Care Provider
Reimbursement for each service performed.
Fee-for-service (FFS)
What type of transfer means you will stay on the line; provide details and then release the call?
Warm Transfer
Which identifier is a 9-digit number? The first two digits identify the state, or region of the state, followed by seven random digits. These are assigned to a provider by the IRS.
A TIN!
Federal Tax Identification Number
OON
Reimbursement at a previously negotiated rate.
Contract
What do we call a transfer that is to a 10-digit phone number OUTSIDE of the organziation?
External Transfer
If an individual provider prefers, what is another identifier they can use instead of a TIN.
SSN
An individual provider can use their SSN instead of applying for a TIN.
EOB
Explanation of Benefits
Reimbursement based on number of members using the provider.
Capitation
What sort of transfers are sent to an agent or supervisor WITHIN the company?
Internal Transfer
Which identifier is unique to UHC for the providers?
An MPIN!
Medical Provider Identification Number
A.P.R.I.L.
A Path to Research, Information, and Links
Reimbursement based on a percentage deducted from a provider's claim.
Withhold