OTHERS
Which edit indicates incorrect LAB filing
ANL
Which popup gives us National state of provider
DS Popup
which tab provides provider network
Provider information tab
under which tab do we get the documents mlh # of a claim ?
attachments
Claim is not a dup . What do we do in Home lob ?
We will adjust the claim
Which bill type indicates that this is a LATE CHARGE claim ?
5
HMO stands for
Claim A and B is billed with pos 21 and is a IA claims , for same patient, for same DOS . Will this be a dup ?
Yes
under which tab do we get check related details in ciw ?
Methods to search records in WCF
Member ID with prefix , Member ID without prefix , Tax id ,Health plan transaction ID
Which edit indicates corrected claim submission
PAJ
What does POS 21 indicate
Inpatient
Application in which we get records
WCF
Under which tab do we get par/non par status of the provider ?
under claim header tab
Who is the vendor for OH , IN , MO state when we get ACM edit ?
Novologix
Which edits indicates missing REFERING PROVIDER / REFERING PROVIDER LOCATION CORRECTION
ANL
Which popup provider DX upto 25
HP
Application with which we connect with Home plan
B2
which tab provides us with sf df rf information ?
b2 data
How do we check for pointers in CIW
Check for diagnosis codes and their placement in Claim line details
When claim has HCM edit , we should send the claim to ?
PPRU
mention the popups in which we get diag pointers for PA claims
PD
Claim should be paid with 150 , but paid with 155 . Is this underpaid or overpaid
overpaid
Under which tab do we update comments ?
notes
what does CO 253 stand for in Medicare
Sequestration