WQ20213 FPL Documents
What documents indicates patient is unemployed and receiving government assistance?
Unemployment Benefit letter
What percentage of Federal poverty Level indicates if patient is denied?
301% and above
What is a Notarized letter of support, Pay Stubs or a Student transcript, how many months will you enter for approval dates?
3 months
How many attempts do we do for missing documents?
2 attempts
Which tab do you edit patient's FPL status?
Guarantor Edit
What form indicates household size?
1040 Form - Tax Returns
What discount amount will a patient receive if the percentage of the Federal Poverty Level is 200%?
75% discount.
Do we need to write off balances if patient has no current self-pay outstanding balance?
No
How do we contact the patient on a first attempt to collect missing documents?
Missing Documents letter
Where are the two sections you can you find PB FA Documents once its uploaded?
Correspondence Tab and Media manager
What two documents indicate retirement?
Pension and Social Security benefit letters
What discount amount will a patient received if the percentage of the Federal Poverty Level is 300%?
50% Discount.
What if a retired applicant has, Disability, Social Security or pension benefits, how many months will you enter for approval dates?
6 months
How do we contact the patient on a 2nd attempt to collect missing documents?
Phone call
Which tab can locate PB FA Letters that has been sent to patients?
Statement and letters Tab.
What form do employers gives to an employee to indicate how much they made throughout the year?
W2 form or 1099
What discount amount will a patient received if the percentage of the Federal Poverty Level is 400%?
0%
5022
Which letter do we Queue for missing documents Denial letter?
22546 PB Financial Hardship - Response Letter Not Approved
What are the two sections you note if a patient is approved or denied?
Crms tabs and under Account status change notes
What's the name of the documents if a patient only receives cash or has zero income?
Notarized Letter of support
What discount amount will a patient received if the percentage of the Federal Poverty Level is 100%?
100% Discount
How do you write off 50% discount if the self-pay balance amount is $80.00?
$80.00*.50
Which letter do we queue for Approval for letter?
22547 PB Financial Hardship Response Letter Approved
Which tab can you locate patient's Workques?
Prof Workqueues