Reserves
Medicare
Initial File Handling
Closing Procedures
Just for Kicks
100

This is the appropriate reserve amount for limiting charge cases. 

What is $4355

100

The only appropriate responses regarding whether an individual is a Medicare recipient.

What is Yes or No?

100

The designated timeframe to completed the initial review, litigation matter, reserves, and referral. 

What is 3 business days?

100

Idalmis issued a settlement check and indicated the final settlement date in this location. 

What is Litigation Matter - Resolution - Final Settlement Date?

100

Dee's favorite tool, best put to use at odd hours of the day. 

What is a snip it?

200

This is the reserve Andy set on his new lawsuit with an uncorrected billed amount issue. 

What is $4222?

200

It stands for the company's ongoing responsibility to pay for the injured participant's medical bills associated with the claim. 

What is ORM = Ongoing Responsibility for Medicals?

200

The document(s) required to be in the claim file by the 45th day. 

What is Complaint, referral, and ILP?

200

Andy sent this to the liability adjuster because he was unable to close out his out the PIP exposure for due to a hard stop

What is a Task?

200

Your last resort if you have a techy issue

Who is My Awesome Boss? 

300

This is the recommended reserve for an exhaustion issue.

What is $2500?

300

The information required to determine eligibility. 

What is The legal name, DOB, SSN, and gender of the beneficiary? 

300

Ludy set her diary for this amount of days after documenting the ILP in the claim notes. 

What is up to 90 days?

300

PSD Adjuster Annie sent Erick a chat because he forgot to update this after his PIP Lit Settlement for Provider ABC Diagnostics benefits. 

What is the PIP Log?

300

Ludy encountered a hard stop when closing a file, Iran was unavailable to assist her so she turned to what for help?

What is the KCC Support Chat

400

This is the appropriate reserve for deductible issues involving the limiting charge. 

What is $4355?

400

Iran clicked this hyperlink to get to the Medicare tab. 

What is The PIP exposure?

400

Where you go to confirm the underwriting organization to update the "Defendant Information" 

Policy - Underwriting

400

Exposure, Workplan and Litigation Matter

What are the 3 tabs that requiring an action at time of closing?

400

August 4, 2022

What is my Awesome Boss' 49th Bday!

500

Erick set this minimum reserve on the duplicate lawsuit filed by Landau & Associates. 

What is $1500?

500

The year of "age eligibility" under Medicare. 

What is 65 years?

500

Leesa sent an activity to this queue upon receipt of an email requesting an urgent copy of the claim file. 

What is KSG File Copy?

500

Complaint, emails, settlement communication/confirmation, Voluntary Dismissal

What are documents required in the file at time of file closure?

500

155%

What is the Closing percentage for the Month of May (4/29/22-5/5/22)?

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