This is the screen where you enter the Action Reason (AR) codes.
What is the V2 screen.
100
One Man Incorporation/Individual Who is Incorporated
What is the procedure used to credential a Sole Owner/One Man.
100
This is where you obtain the Locality information for the Group Member.
What is from group/sole proprietor/ASC file.
100
The procedure used to determine the Medicare Effective Date.
What is Medicare Effective Date.
100
The procedure used when entering information in PECOS.
What is PECOS Enrollment Flow procedure.
200
This is the procedure used to complete the V screens.
What is MCS PSUP Screens.
200
The section on the 855I application that identifies the applicant as the Sole Owner.
What is Section 4A.
200
This is the type of provider who reassigns all of their benefits to a group.
What is ALL services.
200
The effective date for a Physical Therapist (PT).
What is the date the individual or organizational supplier began furnishing services (i.e. the Date in Section 4 of the CMS-855 or the requested date in section 1 of the 855R).
200
The status the L&T is changed to when development is required on the application.
What is Returned for Corrections.
300
This is the option code used for Group Members and Physician Assistants.
What is Option Code 4.
300
The business NPI should be reported in these sections of the 855I application.
What ares Sections 4A and 4C (practice location).
300
This is the type of provider who reassigns their benefits and they have their own private practice.
What is ANY services.
300
The amount of days the applicant can retrospectively bill from Letter A of the procedure.
What is 30 days.
300
The L&T(s) created for a Sole Owner/One Man.
What is 855I New Enrollee, 855B Other, 855R Other.
400
The Action Reason (AR) code entered when enrolling new providers (option 1, 3, 6 and 8).
What is AR 50.
400
The PTAN structure for enrolling the business for the Sole Owner/One Man.
What is 6-digits.
400
The section within PECOS where we enter the reassignment information to show what group the provider is reassigning their benefits to.
What is Section 4 Reassignment Summary.
400
The effective date for an MD who started rendering services on 01/01/2012 and we received their application on 11/01/2012.
What is October 2, 2012.
400
The day that the PECOS Enrollment Record is approved and the Approval Letter Sent.
What is the Same Day.
500
The fields that are entered on the V1 screen to activate an EFT.
What are Bank1 Code, Bank1 Status, EFF, Bank1 Routing Number and Bank1 Account #.
500
The PTAN structure for enrolling the individual for the Sole Owner/One Man.
What is 9/10 digits.
500
The MCS Screen where we verify the group's Part Status.
What is MCS VE Type 11.
500
This is how you determine the Medicare Effective date for the providers listed in Letter A of the procedure.
What is take the later of the date they began furnishing services or 30 days prior to the date we received the application.
500
The Enrollment Records that must be approved before you can Tie and Approve the 855R L&T.
What is the Indivual Enrollment Record and the Group Enrollment Record.