SYSTEMS
This system houses Prior Authorizations
What is TruCare
How many possible pieces of information can be used as HIPAA verification for Members
What is 5?
Lists all CSR's incomplete work
What is Worklist Tab?
This Task is used to contact provider relations.
What is Provider Outreach Task?
You can locate EOPs in this system
What is Emdeon?
This HIPAA verifier should be used as a last resort
What is the address and phone number?
This Task is used to recover or refund a check.
What is Claim Inquiry (Other Actions)
This task is used when there is no other intent to use.
What is Log View Status?
DAILY DOUBLE
This system is used to view notes for appeals and disputes.
What is CenPas (search Amisys First)?
On which OMNI 2 screens can you view claims associated to the providers?
What is the Claim Inquiry screen and the Provider Composite
All Task result in the creation of this
What is a service object?
This Task is used to contact a Case Manager?
What is Care Management?
This systems is used to process claims
What is Amisys?
When should you view the Resent Interactions on a provider callback?
What is when they have called before?
Click this to close an Interaction
What is Wrap Up?
This Task is used to status prescriptions fulfilled.
What is Pharmacy Claim Inquiry
Which Run Screen is used to view claims in Amisys
What is IQ1200 Claim Summary?
What are the 2 HIPAA verification combinations used for providers
What is TIN & Name and NPI & Name
Use this to log notes within the Service Objects
What is the wrench?
When subrogation is determined for medical bills this Task is used.
What is the COB Task (Other Actions)?