Who's Who
ABC's
Action
Where oh where
Things we need
100
Capone's mother.
Who is Jen Wilson?
100
The first thing you ask a caller who is inquiring about benefits.
What is HUD?
100
Action code used to deny a duplicate.
What is 699?
100
This is where we go to look up the meaning of an action code.
What is option 11?
100
We must have this before we can pay a CPAP bill.
What is a sleep study?
200
Her wedding anniversary is 8/11.
Who is Andrea Troublefield?
200
Contract where a company provides claim and other administrative services but doesn't incur financial risk.
What is aTPA?
200
This is the action code we use to deny a claim when we need more information.
What is 830?
200
This is where we go to find out what services are not covered on a plan.
What is SPD exclusions.
200
We need this for a dependent child if they have a different last name than the policy holder.
What is a custody letter?
300
Her "kids" are Carly, Michael, and Ernie.
Who is Missy Riehl?
300
An account funded by employee/ and or employer to pay for current or future medical expenses and is non-taxable to the employee.
What is HSA?
300
This action code asks for accident details.
What is 529?
300
This option takes us to claims history.
What is option 2?
300
This is needed for an inpatient stay.
What is a pre cert?
400
She is in charge of the Wellness Committee.
Who is Sandy Graham?
400
Auto insurance policy that covers medical expenses, loss of work income and accidental death.
What is PIP?
400
This action code means a refraction charge was denied.
What is 568?
400
The employee's date of hire will be here.
What is option 10?
400
After the patient has used their first 12 visits for PT/OT we need this from the referring doctor.
What is a PT/OT script?
500
She drives a Mini Cooper.
Who is Amanda Killian?
500
One reason somone under age 65 would have Medicare.
What is ESRD?
500
This action code is how we know what the PPO discount is.
What is 901?
500
This is where we note accident details.
What is screen 21 SUBRO page?
500
We need the name of the medication, the reason the patient needs it, name and phone number of the pharmacy, and all patient information.
What is a drug override?
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