MISC
Claim Forms
PED/PAVE
OOS (Out of State)
Specialty Skillset
100

GWT Secure Connect

What is the BPO reset VPN?

100

ARN

What is an appeal reference number?

100

Application Process

What is 90-180 days?

100

OOS billing the patient

What is if provider chooses not to enroll, then they may bill the patient??

100

BIC ending in X/Y

What is Family Pact?

200

BPO\

What you enter in front of your short ID to login?

200

CMS-1500 Box 32A

What is a Facility/Inpatient Facility NPI?

200

Application Fee

What is $688.00?

200

Inactive OOS NPI eligibility verification

What is a temp pin for an emergency service only?

200

25-1

What is LTC claim form?

300

PA/NMP/NP Lookup

What is F11 on PMF?

300

CMS-1500 Box 31

What is a black wet (written) signature?

300

Application Assistance

What is PAVE 101 training slides?

300

$599.99 or 10 claim lines per calendar year.

What is a temporary out of state provider?

300

Specialty over age of 21

What is GHPP?

400

Daily time entry

What is CATs?

400

Electronic/Paper Submissions

What is how to submit claims?

400

Revalidation/Re-enrollment

What is PAVE Inquiry?

400

OOS application status

What is in CRM?

400

ID with numbers and letters

What is EWC ID#?

500

MSS00016 NPI

What is an atypical (legacy) NPI#?

500

Box 1, 1A, 9 and 9A

What is Medicare crossover?

500

Suspened Reactivation

What is OIG?

500

Authorization and forms

What is provider must be enrolled?

500

Authorization# starting with 9

What is CCS/GHPP SAR?

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