Adjustments
VIPR
Choice Fund
Internal Codes
Benefits/Eligibility
100
This is the standard time frame for adjustments.
What is 5-10 BD
100
This part of Vipr is used to obtain information about codes.
What is Code Maintenance
100
This is the type of card offered for an FSA
What is Visa
100
This code explains why we paid or denied a claim.
What is RNC or Remark Code
100
This core system should be used to confirm eligibility if the customer is not pulling up in oneview.
What is CED
200
If your claim is under $20k and is not a CBH claim you can most likely use this type of adjustment.
What is SDA (Same Day Adjustment)
200
This action is used on the big momma screen in VIPR to obtain the fee schedule.
What is PPO
200
What are the 2 ways a customer can obtain the balance of their HRA.
What is Mycigna and customer service.
200
This code explains the type of service that is being provided to the customer.
What is TYP code.
200
If a customer does not have coverage for acupuncture this program should be offered as an alternative.
What is Healthy Rewards
300
This type of adjustment only takes 2-3 BD for processing and can only be performed for certain types of adjustments.
What is CSA Adjustment.
300
This action would be used to view prior processing of the claim.
What is NEG
300
1cloud is used to access details of this type of CCF account.
What is HSA
300
TLC code:NLL
What is Non-Surgical Illness in Urgent Care
300
In BA this is where you would find the benefit for a colonoscopy.
What is Early Cancer Detection.
400
These types of adjustments are handled in the Denison office.
What is CBH adjustments
400
To pull the claim manually into xnet we would need to obtain this from VIPR's CCR screen.
What is Claim Key
400
This is where we would send a task if we have received substantiation information but the transaction is still pending.
What is QMBI
400
This code provides the status of the claim.
What is Disposition Code
400
If a customer is retired and has cigna and medicare (medicare due to age) who would be primary?
What is Medicare
500
This is the amount of time a contracted provider has to adjust claims.
What is 200 days
500
P would be located in the auth field for this type of enhancement.
What is As, Rs, and Ps
500
If there is an overpayment this is where you would send funds to Cigna.
What is PO BOX182223 Chattanooga, TN 37422
500
C, E, X, @, and # are example of what type of internal codes.
What is System Flags
500
Name 3 health programs Cigna offers?
What is YHF, HA, IPHT, PHT, Lifestyle Management Program.
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