Stats & Facts
Name the Benefit
Adjustments
UNET screens
100

This is the UnitedHealthcare mission 

Help people live healthier lives and help make the health system work better for everyone

100

The services you get as part of your routine well exam

Preventive Care 

100

This is added to explain how the claim processed and shows on the EOB

Remark code

Recon code

100

On this screen you can see the members claim history

AHI

200

This program is about giving back to the communities where we live and work 

United for Giving

200

Tests sometimes done at an Independent freestanding facility to check health issues like Cholesterol levels, Diabetes markers, Iron levels

Laboratory 

200

This can be performed only on the same date a claim is processed but not on closed claims

Same Day void

74 Void

200

To view an authorization you would go to this screen 

ARI

300

A treatment program that focuses on parts of the body that have been injured and is designed to return a person to normal activities. 

Hint: some plans have a limited number of visits individually or combined

Rehabilitation Services 

Physical, Occupational, Speech Therapy, etc 

300

When you are adjusting an overpaid claim you need to create these 2 things

R-OV line 

Overpayment letter

300

What screen is used to locate a member record with only an SSN or Policy number, and last name 

EPI

400

This screen includes the following information 

  • Subscriber name and address
  • Policyholder name
  • Paying office name and customer service telephone number
  • Coverage information for a subscriber, spouse, or dependent
  • Primary Physician assigned to a subscriber and/or the dependents

CEI

500

There are four UnitedHealthcare Businesses listed, name two of them.

Community & State

Employer & Individual

Medicare & Retirement

UnitedHealthcare Global

500

If you want to see if a member has Other Insurance, if it is primary or secondary you would view this screen titled COB/MEDICARE ELIGIBILITY

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