UPMC RI
NuPay
Insurance
Authorizations
DAR Management
100

What are the types of therapy services UPMC RI Offers

Physical Therapy, Occupational Therapy, Speech Therapy, Women's Health, Men's Rehab, Neuro and Vestibular Therapy

100

This is the beginning account number that is entered into Nupay to accept payment.

What is the UPMC RI 933 guarantor account number

100

This is the action you should preform if benefits and authorization are not clear or a portal is not provided.

What is calling the number on the back of the id card to speak to provider services?

100

This portal is used to obtain benefits and authorizations for in area Highmark members.

What is Availity?

100

This is the brain of the appointment

What is the referral?

200

This is the type of setting that UPMC RI bills it's patients as?

What is an office.

200

We never accept these types of payments.

What is an ACH payment.

200
Humana insurance is looked up through availity and requires authorization through here.

What is Cohere.

200
This is the number of days that you have to obtain UHC Medicare Authorization

What is 10?

200
T tab can be used for the date of onset and injury unless it is these types of appointments.

What is work comp or auto

300

This type of provider is able to see patients for 30 days

What is direct access.

300

This is the number of receipts that are printed per patient per payment

What is 2 receipts?

300

This needs to be attached to straight Medicare A and B only (regardless of if Primary or Secondary) and updated with each new UPOC.

What is a Medicare Claim?

300
This is the portal that is used to obtain Highmark Wholecare authorization.

What is Health Help?

300
Both of these should be pulled as soon as you come into work.

What is your DAR, and your Eval Dar

400

If a patient is not able to schedule within 48 hours we should schedule the patient and add them to this for an earlier appointment.

What is the waitlist?

400

This report must be run daily prior to preparing the bank deposit.

What is the Dynamic Report?

400

This UPMC Small Market insurance is a specialized plan that this (blank) to be placed otherwise all services will be written off.

What is a PCP authorization is required?

400

Select both services in Predictal regardless of what they are coming for so that both sets of codes are obtained.

What is PT and OT Services

400

This must be entered into epic registration, even when only a co-insurance or deductible exist otherwise it will prevent check in at the kiosk.

What is a copay?

500

A referral is never able to come from these types of doctors.

What is a psychologist, midwife, or chiropracter.

500

This is the number of bank deposits that are prepared.

What is 1 per day, however 2 deposits must be actually made per week.

500

This insurance is always pulled in with auto.  If authorization is needed, we obtain at onset.

What is the personal insurance?

500
This site allows you to obtain and update needed authorization for the 3rd party WC payor. 

What is Align?

500

This Guarantor Account will always show as "blank" in the insurance field.

What is CRS Private Pay

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