Week 1-6
This is the phone number to call Certified Languages (interpreter services)
877-241-2346
Pull up Claim #233533611600 in Claims Inquiry-Web. Medicare paid ______ on this claim
$549.40
Pull up claim #241104387500 in Claims Inquiry-Web. The reason for this claim denial was
The 2025 Medicare Part B Deductible
$257
The name of Aspen's cat
Nacho
To obtain Housing-related support for applicable members, it could take ___ to ____ days before services are delivered
30 to 60
Pull up Claim #233555053200 in Claims Inquiry-Web. True or False: This is a facility claim
False
Pull up Claim #232343329600 in Claims Inquiry-Web. This is the member's patient account number
I16298517S4314912
This is the annual high-deductible amount for a OR Supplement member on a Plan G
$2870.00
Pull up Sub ID: T72133158
This is the per day rate of coverage for 2025 Skilled Nursing
$209.50 per day.
What is the timely filing limitation for claims submissions for PERS Medicare Supplement members?
12 months from the date of Medicare determination to the Moda received date
Pull up claim #240193288700 in Claims Inquiry-Web. The reason this claim didn't pay
Went to towards Medicare Part B deductible. ($160.69)
Pull up Claim #243372209100 in Claims Inquiry-Web. This is the reason the claim denied
48R - No Response from Provider - Med Records
The group number for Texas Medicare Supplement Plans that we offer
10026903
Pull up Sub ID T72133158 in Benefit Tracker. This is the copay amount for a WellVision Exam.
$15
What line on the prioritized list does DX code M25.111 fall on? Is that funded or non-funded?
521 and non-funded
Pull up Claim #240793046300 in Claims Inquiry-Web. The reason this claim didn't pay is ______
Medicare paid their full allowable of $23.76
Pull up Claim #242923394200. This is the 3rd diagnosis code billed. (Need both Code and Description)
I63.511
Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
For Community Medicare Supplement plans, this calendar year deductible amount must be met prior to Moda paying 80% for medically necessary emergecy care.
$250
Member Document or Plan Document: A PA Decision letter is considered a
Member Document
09/22/2022
Pull up Claim #240683182500 in Claims Inquiry-Web. This amount went towards the member's Medicare Part B deductible.
$73.76
Pull up Claim #241373514300. This is the reason the claim denied
Clinical Edit: [Trauma response code G0390 not submitted in conjunction with revenue code 068X and CPT code 99291 on the same date of service]
R046 (MA CS Medicare). Additionally, you can also email bemc@modahealth.com
**Pull up your InContact Skillset Names and Definitions spreadsheet**
Provider calling for Sub ID P20261662
The appropriate skillset from CXone you will transfer this provider to assist with their question is
MED_360_PEBB_P