IDK
A plan that has no networks
What is Indemnity?
applies for inpatient admissions to participating facilities when notification is more than 1 business day from admissio
What is The late notification penalty
Numbers in a NPI
What is 10?
03,05,06,14
What is self insured?
Required Field Values on Varicose Event Entry : Modifier Code
What is LT or RT?
Inpatient hospice with a non par provider
What is Precertification may be required
Turnaround time for fully insured
What is state?
CPT means
What is Current Procedural Terminology?
US,01,AE
What is fully insured?
Caller is inquiring into the status of a ToC request: Not found
What is
Outpatient TC plan for bariatric surgery
What is Precertification is required?
Turnaround time for self insured
What is self insured?
Inpatient Event in atv needs
What is Name of the attending physician, the admitting physician and facility
Aetna participating provider that is not evaluated/considered for tiered plans (designation not required for this type of provider)
What is Exempt/Maximum Savings
Crushed, pushed or stepped on by crowd or human stampede : ICD10
w52
Caller indicates that the newborn will NOT remain hospitalized after the mother has been discharged
What is No precert is required. Do Not enter a UM Event
Lower level benefits
What is OON
Outpatient event in atv needs
What is Name of the attending physician, the facility or the vendor for non-office based services.
Aetna participating provider that meets designation criteria of the narrow or broad network
What is Maximum Savings/In Network
Accidents caused by other specified cutting and piercing instruments or objects :ICD10
E920.8
Provider calling to see if precert is required for an oral medication
What is transfer to pharmacy?
Number in a TAX ID
What is 9?
Medicare event in atv needs
What is Requesting and Referred To are required provider roles in addition to the standard requirements?
a medical review performed by the (PreD) unit in response to a pre-service benefit coverage inquiry for a procedure/service that DOES NOT require precertification
What is A predetermination ?
Contact with orca: ICD10
What is w56.2?