Payer
What payer does not require authorization?
Virginia Emergency Medicaid
What system is used to verify patient eligibility?
Web portals
What department handles clinical appeals
Denials Management- Clinical
What screen shows most medical records, scans, account notes, etc?
Doc Review
What payer requires intern billing?
Virginia Medicaid
What system is used to see claim details? (Billed date, received date, claim image, etc)
Nthrive
What department handles registering the patient and entering in all demographics?
Patient Access/Registration
What screen shows the patient's insurance coverge?
Coverages
What payer contracts with Virginia Premier?
Kaiser
What system is used to hold meetings?
Zoom
What department handles technical denials?
Denials Management- Technical
What screen shows payments/adjustments that have been posted?
TX Inquiry
What payers may require itemized bill?
Anthem and Aetna Better Health
What is the main system that all of Inova uses?
Epic
What department enters diagnosis codes?
Coding
What screen shows Account Notes in detail?
History
What payer requires a ECO form?
TDO
What system is used for reports, slide shows, emails, etc?
What department handles payment posting issues?
Cash posting
What screen shows all accounts under the Guarantor listed on the account?
Guarantor Summary