Education Delegation
The reason payment agreements are delegated to control ID TPOOGRVW for review.
What is out of guidelines?
Accounts where the patient is deemed medically indigent through the provider's Financial Assistance process.
What are Charity accounts?
The status in ACE that indicates the guarantor is making valid payments and its abbreviation is ATP.
This result code is used when Charity application is scanned.
What is F1 CFS RECEIVED?
The email used to forward Subpoenas to when you are unable to locate the patient account.
What is PFSATTYIZreq@coniferhealth.com?
The account status updated to in ACE after delegation is termed for PFSVBDSIF control ID and account is moved to Desk 940-Cancellation Unit.
What is CSF status?
When Team Member has a question regarding whether account is to be kept or deleted from the log, it will be flagged for this.
What is secondary review?
The Action code in ACE to retrieve Time Payment Information screen.
What is F7-IA?
The unit that non-CommonSpirit and non-bad debt insurance credit card payments are forwarded to.
Who is NPAC?
Support will review history notes in this client system because ACE may display multiple MWU user notes that does not pertain to specific account in review.
What is EPIC?
DRA enters CSMRA and request will delegate to this control ID
What is NCSDRAREQ
These amounts that the patient is assigned by Medicare plan for covered services, that CMS considers allowable bad debt if uncollectable.
What is deductible and coinsurance?
A financial agreement between guarantor and client usually signed at the time of service and documented in notes and VI Web.
What is preplan or pre-payment plan?
The activity code used for Insurance IZ request.
What is XX167?
The email used when correspondence is received referring to legal actions against facility/client/Conifer.
What is Conifer-Disputes-Legal@coniferhealth.com?
Accounts on a time pay, delegated to this control ID resulted in an increase of patient responsibility and account status is TPI.
What is NCSTPRVW?
An account where the patient is considered medically indigent due to Medicaid eligibility.
What is a Crossover Account?
The action you do when arrangement falls well out of guidelines for Supervisor to approve and the account is in Branch 61 Desk 275.
What is making 2 call attempts to patient?
The RESULT code entered in ACE to route/delegate account for review of insurance/attorney settlement request scanned.
What is RESULT-SR?
The other option in ACE you can utilize when you are unable to locate an account, especially if aged.
Account delegates to this control ID due to not receiving the OPHPLN agency or Billing indicator 515 from OnPlan or Host system when Result code AT was entered.
What is OPHTPRVW?
The date on the log that commonly requires more than 1 review because of multiple payments and recoupments.
What is the RA (remittance advice) Date?
This account status in ACE is a sign that the account is aged, pending assignment and may not be eligible for payment plan to be entered by us.
What is PBD status?
The result code used when patient's proof of missing payment is received and scanned.
What is QJ?
This is opened when there is no workflow or more information is needed regarding patient's correspondence request received.
What is Client Services Ticket for patient follow up?