Payer Portal
What portal should I utilize if I am needing to verify a patient has active Florida Medicaid?
FLMMIS
In what section of the RTE discovery can you view what is wrong with the data sent to the insurance company?
Alert Section
What does RTE stand for?
Real Time Eligibility
Where should I go to determine if a patients insurance requires authorization for a procedure?
Payer Manual
How do you resolve a data mismatch error?
Review the “mismatched information” section in the RTE response & update the payor returned demographic field.
How do we know if an insurance utilizes RTE?
There will be a lightening bolt next to the payer name in the add coverage process.
What portal shows me a patients Medicare MBI number?
WPS
True or false: If the insurance is showing e-verified you do not need to look at the response history.
False. We should always review the response history and check for alerts.
What is the first step to selecting the plan when a patient has BCBS?
Fine the state
What portal would I go to verify a patient has active share of cost?
FLMMIS
What causes a connectivity error?
When RTE is unable to connect with the payer. This might happen because the payer is undergoing maintenance, or the system is down.
What images are on a BCBS card that is our hint it is a Florida plan?
Sky, Palm Tree, Beach
What platform allows you to login to multiple payer portals?
ZKeep
What is the final step after resolving any error?
Re-run RTE
What the 3 ways to look up United plans?
Payer ID or EDI, Plan Name, Address