UHC Game T2

ICES

100

what is ices

Reimbursement policy editing system that automates UHC reimbursement policies and industry standard coding process.

200

Bundling

What is it called when iCES takes multiple service codes and puts them into one svc code?

300

Benefit of

Most cost effective

400

Does provider know?

on the EOB

500

Does member?

No, only the correct services

UNET

100

MRI 

houses policy data, effect dates/cancel dates/restrictions

200

FCI

Free form comments

300

MHI

Claim history screen

400

IDI

Deductible information

500

ARI

houses PAs

Preference

100

F1

 look up Edit and Warning messages?

200

F2

we use to look up SPIs

300

F4

 use to look up remark codes?

400

2 character informational code. Additional infor on EOB, helps explain the why of the claims

What is a remark code?

500

When should WI-OON remark code be used?

1. Provider is OON
2.  Allowed amt is less than or     equal to the billed charge
3.  Entire allowed amt or total     charge is being applied to the member ded.

Macros

100

sign on

shift home

200

peference

alt + home

300

rework tool

Cntrl + Shift + T 

400

Recon Code look up

Alt + R 

500

same day void

alt + 4

Macros Cont...

100

pulls up emulators

cntrl spacebar

200

sign in all emulators

control alt spacebar

300

looks up claims

alt + E

400

Clean a claim

Ctrl shift 6

500

adjust a claim

cntrl + A