Potpourri
These are the names of your trainers today.
What is Jami & Mandi?
By viewing this, you can tell the difference between an HB account and a PB account.
What is the Har # and/or the Icon?
Reported HB services are listed under charges in this tab.
What is Hosp Tx Inquiry?
A PB HAR starts with this #.
What is 5?
SBO
What is Single Billing Office?
Based on this act, we are obligated as SLUHN employees to maintain patient privacy.
What is HIPAA?
What is Storyboard?
Balances in this bucket reflect amounts that are the patient or guarantors responsibility to pay.
What is the Self-Pay Bucket?
Select this to view details of what went out on the claim such as NPI & Tax-Id #.
What is "Claim Image"?
EOB
What is Explanation of Benefits?
This is the login used today in environment ACE4.
What is sbocs?
Do not remove these if you are not working that item, didn't create it or are unsure. It could incorrectly remove items from a workqueue.
What is DNB or Stop Bills?
When the primary carrier has already paid a claim and we are adding a secondary insurance, you do not need to do this.
What is "Undo Billing"?
A recoupment eob will show the payments as this.
What is negative amounts?
RTE
What is Real-Time Eligibility?
This type of account holds unapplied copays and unmatched payments.
What is default account?
Identify at least 2 different Guarantor Types.
What is P/F, W/C, TPL, B/H or Addt'l Type?
In the Hosp Tx Inquiry tab, the Grouper sort defaults to showing these.
What is Revenue Codes?
When using the Filter Pane in the Prof Inquiry tab, it is pertinent to make sure these two boxes are selected.
What is "Include Zero-Balance" and "Include Voids and Reversals"?
NRP
What is Next Responsible Party?
Identify what at least 3 of the 5 letters in AIDET stand for.
What is Acknowledge, Introduce, Duration, Explanation & Thank You?
You will need to do this when reviewing any accounts for SLUHN employees, private/confidential encounters and psych patients.
What is "Break the Glass"?
When creating your claim information record for Workman's Comp and Auto claims, you need to enter this on that screen which is used to point to an injury date or episode onset.
What is Occurrence Code?
A patient calls about a statement they received. Upon your review, you determine the denial was 96-non covered. Identify what team you would sent this to.
What is the PB Insurance Follow-Up team?
(use Account Activity 583)
LHD
What is Learning Home Dashboard?