COSMOS Screens
The COSMOS screen used to verify the provider's participating status
What is the GI201
An all numeric code that defines the procedure completed on a claim
What is the CPT code
The two types of providers that can be submitted on a hard copy
What are individual and group
When using the Claims Search tool, this is the format in which we enter our audit number
What is 1234567800
The macro to launch Skynet
What is Alt + Shift + Enter (keypad)
The hotkey to launch open a new COSMOS screen
What is Ctl + spacebar
An alpha-numeric code that is billed to indicate a procedure
What is a HCPCS code
The COSMOS screen we use to look up the provider's billing address
What is the GI205
True/false - We must work the 022 line by line if it edits to multiple lines on our current claim
True
This PI is used to confirm if the member we have selected on the claim is correct
What is the Member Number PI
The hotkey to change the division on your current COSMOS screen
The website we use to look up definitions of codes
What is the KL
NDM
True/false - It is possible for there to be multiple duplicates to our claim
True
The macro we run to pull up the member's panel and line of business in CPA
Ctl + Alt + Shift + G
The COSMOS screen used to verify denials on a claim
What is the TB208
A two digit addition to the procedure code that has its own definition
What is a modifier
The hotkey we can use in the provider selection PI, as well as any other PI, to go back to the previous step we were on
Alt + back arrow
We must confirm this is correct on both claims before we can confirm if the claim is a true duplicate
What is provider selection
This PI is used to confirm if the Pay Subscriber field has been correctly populated
What is the Assignment of Benefits PI
The COSMOS screen used to verify the PCP's NPI
What is the PS308
An alpha-numeric code that indicates the member's condition for that claim
What is an ICD-10 code
When the provider's zip code, name or NPI, and zip code in the GI205 match the hard copy
What is a three-point match
The following criteria must be met for a claim to edit to the 022 review
-Same date of service
-Same procedure code
-Same member number
-Both claims have payable dollars
Each time we submit to a SharePoint, we should set up these in order to be notified when our SharePoint item has been worked
What are alerts