INTRO TO INSURANCE
Federally mandated provision that allows an individual to keep their health insurance coverage for up to 18 months after losing their job.
COBRA
For overpayment recovery, this is the branch you should select in IRIS.
13
when you have to tell the provider it looks like they were paid twice
07 duplicate payment
dt listed with accent for acct 1307583576131
05/01/2023
When documenting a call, what code can you type in to show continuation of notes?
Forward Slash (/)
Three types of Medical Insurance Plans that are considered managed care
PPO, HMO, POS
The function key used to view all accounts in a Packet.
F7
when they are eligible for Medicare benefits but they do not elect them
6a/4c estimation part B
This is what you press to see what letters have been sent out.
Shift + F7
What is the CRD WIP number for Money Related requests
S710
In charge of monitoring solvency and insurance regulation
NAIC or Insurance Commisioner
function key to view expanded history and notes on the account
F9
what code is used when u tell the provider they needed a preauth
b9 - no referral/auth on file
what is the meaning of the reason on acct 1307584071300
Voided claim was received with bill type 008, and therefore the original claim is fully overpaid.
what codes are used when you have made an outbound call and they need a email sent instead
po, emo
The term used to describe the amount commonly charged by a provider for a particular service within a certain geographic area
UCR
Steps to change your password in iris when not prompted
ESC+opt 9
What are the two common no refund/refused to refund codes used
55/56
cigna dentacom - need crd to provide a patient account number. Give the reason and wip
21-740
What abbreviation is used to notate something the provider or insured says?
adv
This term refers to a business group or employer that acts as its own insurancy company and pays claim benefits from its own pocket.
Self Funded
Steps to locate each line item billed on the claim
F6, 1, Enter, F10
The Insurance Company sent a check to the Insured, but it should have gone to the Provider directly.
Incorrect Assignment of Benefits
Accent client contact for acct 1307581501786
ELIZABETH DAVIS
2 codes used when receiving a call requesting a the p1 be sent via fax
PI, FXF