SS Team Portal
UB04
What's My Status
To Certify or Not to Certify, THAT is the question
Coded Comments
100

This portal is used when attachments are to be sent with a claim to the insurance...

What is the Rebill Attachment Site Portal?

100

This is the official name of the UB04 claim.

What is CMS-1450?

100

These statuses are used when completing work in any of the Shared Services portals...

What are "Mailed" and "Pending Audit"?

100

In the Mail Request portal, all items are sent certified, except this...

What is Itemized Statements mailed to the patient?

100

Use this category and comment code after printing items that are ready to be mailed from the BSO.

What is Shared Services and Pending Audit?

200

This portal is used when mailing billing records to attorney offices...

What is the Financial Documents Portal?

200

On the UB04, these dates may appear different from the Patcom main page if we are billing by cycle?

What are the dates of service?

200

This status is used when the claim is being requested to be faxed to the insurance company.

What is "Fax/Email"?

200

In this portal, all items will be always be sent certified.

What is the appeals portal?

200

This category is used in OHPAC when the required attachment to be mailed with a commercial claim is missing in the RBA portal.

What is FollowUp and AR Escalation?

300

This portal houses all links needed to preform Shared Services functions...

What is the Shared Services portal?

300

These UB04s should have a signature on the bottom before mailing.

What are the California Medicaid claims?

300

This required information was missing from the mail request portal, so we updated the status to "Rejected".

What is an address?

300

Attorney requests for billing records are never sent certified out of this portal

What is Financial Document Review portal?

300

Use this category and comment code when the appeal has been printed and is ready to be mailed from the BSO. 

What is Appeals and Appeal Submit?

400

Shared Services makes sure that ALL documents, except I/S are mailed "certified" from this portal...

What is the Mail Request portal?

400

In OHPAC, you will pull a UB04 by going into this action...

What is DM View?
400

A record request from the attorney has an affidavit that needs to be notarized, so you update to this status. 

What is Notary Needed?

400

In the appeals portal, you add the certified tracking# in this place...

What is the certified tracking# box?

400

Attorney documents are compiled and there is an affidavit that needs to be notarized. You add your coded comment in OHPAC using this category and comment code. 

What is Shared Services and Notary Needed?

500
You will find higher-level disputes and their supporting documents in this portal...
What is the Appeals portal?
500

A DCN# is also known as...

What is Document Control # or Claim #?

500

You review an appeal before printing and realize the medical records are listed on the cover letter, but they are not attached, so you update to this status.

What is Back Up Needed?

500

In the RBA, these claims must always be sent certified.

What is Texas Medicaid, claims with Medical Records, and appeals/CIF forms with CA MCD claims?

500

To add your comment to the correct place, you always select these 2 things from the main page.

What is Billing Period and Responsible Party.

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