GENERAL
HEALTH PLANS
PHI/HIPAA
MYSTERY
CARECENTRIX
100

READ ME TO FIND THE DENIAL REASON

F11 NOTES 

100

HOME HEALTH IS NOT ON ME 

HORIZON

100

ON ALL  I MUST BE USED 

PHI/F11 TOOL 

100

I PROVIDE DENIAL REASONS AND NEXT STEPS 

UM GRID 

100

AFTER 30 DAYS, I AM ABLE TO BE UTILIZED - WHO AM I?

PST 

200

I AM THE PROCESS WHEN THERE ARE NO ORDERS, WHO AM I?

NO MD ORDERS 
200
THESE 7 CHILDREN OF MINE 

WELLCARE 

200

FIND  ME IN F12 IF THE PATIENT IS NOT PRESENT 

HAR NOTE

200

EMOTIONS? I'M NEEDED 

EMPATHY 

200

DONT KNOW SLEEP CODES, COUNT ON ME FOR ALL YOU KNOW 

SLEEP DLP


300

J CODES? I DO NOT PROVIDE COST

PST/BILLING

300

RETRO ME 90

FLORIDA BLUE

300

OUT OF POCKET? THAT'S ON ME! 

PST/BILLING 

300

OMNI ROMNI, YOU DONT REALLY PROCESS ME WHO AM I?

OMNI PODS

300

WE CARE, TAKE OUR WORK SERIOUSLY, WE STRIVE FOR EXC

CORE VALUES 

400

FIND ME IN THE TOOL, THE BABY'S DEPEND ON ME

FORMULA CALCULATOR 

400

30 DAYS, SAY NO MORE 

WELLCARE 

400

NAME, DATE OF BIRTH &? 

UNIQUE IDENTIFER 

400

HEAR ME? YOU DON'T PROCESS ME 

HEARING AIDS 

400

BLANK

FREE POINTS 

500

FL BLUE PATIENT'S DO NOT NEED ME FOR THE FIRST 90 DAYS 

ORDERS FOR DIABETIC SUPPLIES 

500

THERES A SPECIAL FEP PROCESS FOR ME 

HORIZON

500

MEDICARE

AOR FORM 

500

NOTFIY ME IF YOU ARE GOING TO CHANGE ME

PROVIDER'S DURING RESTAFF 

500
DAC OF CODES

P-DAC 

M
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