RANDOM
A five-digit code that identifies which payer the claim should be billed
Plan Code
What activity code will request for Medical Records?
XX161
How to check Claim History/Billing Status History
SHIFT + F4
This is a record of the patient's medical information such as medical history, care or treatments received, test results, diagnoses and medications taken.
MEDICAL RECORDS
A statement sent by a health insurance company to covered individuals explaining what medical treatments and/or services were paid for on their behalf
EOB
How to pull up UB04 in ACE?
F7 + UM
What activity code will request for Itemized Statement?
XX167
How to open 835 screen/EOB/Claim?
F7 + F0
Third-party entity, like an insurance company, that will pay on behalf of a patient, typically (but not always) based on a contract with a provider.
PAYER
A Standard claim form that any institutional provider can use for the billing of inpatient or outpatient medical and mental health claims. It is a paper claim form printed with red ink on white standard paper
UB-04
What is the CID for Portal requests?
RBOBLUPORA
What activity code will request for Implant Invoice?
CIIRM
How to pull up patient documents in VI Web?
F7 + HK
A team of Conifer employees that will do further research needed for claims with edits verses escalating to the facility for review.
CET (Centralized Edits Team)
This tool is used to obtain itemized statements and explanations of benefits ONLY.
ONDEMAND
What activity should you use to ask onshore to submit document by MAIL?
BRSSV
What activity code will request for 2ndary claim to be submitted to 2ndary insurance with prime EOB?
BNPP2
How to check patient Diagnosis?
F7 + AQ
A process used by billers to communicate with either the Centralized Edits Team (CET) or with a facility department to obtain needed information or assistance for missing, invalid, inconsistent or non-validated information on a claim.
Question Status (QS)
This tool is used to obtain UB04/CMS 1500 as well as POTF/Claim History
EPREMIS
What activity code is dropped in ACE if the request includes itemized statement and with medical records?
CMRSB
Which activity code will request for bill primary with other attachments?
CRBWA
The main tool where patient data can be obtained and used for sending documents
Insurance against loss arising from destruction of or damaged to an insured motor vehicle.
TPL/AUTO INSURANCE
What CID is connected to Epremis that once claim is released Locally the accounts gets delegated in ACE?
RBOBLP