Claims
Amisys
Systems
Misc.
Medicare
100

This claim form is used for out patient claims

What is a 1500 form

100

This run screen shows negative balances

What is CP0700

100

The system used to document calls

What is Omni

100

When a provider calls, what is needed to HIPAA verify the provider?

Provider's Full Nam and NPI/orTIN

100

HealthNet Medicare Plans are Part A, B, C or D?

What is Part C?

200

What does it mean if the claim starts with an 'R' instead of a 'Q'?

R = 2018 claim

Q = 2017 claim

200

What screen IQ0100 can show you.

What is Member information

200

Why would you not go to Emdeon to fax a copy of the provider's EOP.

If the provider is set up with electronic deposits, they would not have an EOP in Emdeon and instead be transferred to Payspan.

200

These are Trillium's two employee committees

What are Diversity & Safety

200

These are three services covered by Medicare Part A

What are Rehabilitation, Impatient Hospitalization, and Inpatient Speech Therapy

300

This number is used to describe an emergency admission on the UB40 claim form

What is the number 1

300

This screen shows basic provider information

What is IQ0200

300

The program used to view a rejected claim image?

What is Filenet

300

When you wish to log into Emdeon, where to you go to access the program?

What is SharePoint - Operation Resource Page or your favorites bar


300

Medicare Part D covers what?

What is Prescriptions.

400

The term EOP means this

What is Explanation of Payment

400

IQ0880 can show you this?

What is Member Details Inquiry

400

This program contains the most information regarding claims and is used to process claims.

What is Amysis

400

When you need to go to Cornerstone to take an online training, where do you go to access Cornerstone?

CNET

400

How many HealthNet Medicare plans are there?

What is 5. Aqua, Violet 1, Violet 2, Violet 3 and Ruby

500

Which type of provider is unable to appeal a claim?

Participating Medicare

500

O362 is this date when present on a claim

What is December 28, 2015

500

The Program used to view a provider's rejection letter

What is Emdeon/Change Healthcare

500

When you are needing to look up a member's benefits, what 2 documents on the public website are used as a reference?

Summary of Benefits (SOB)

Evidence of Coverage (EOC)

500

This is the motto of the Department of Health & Human Services.

What is Improving the Health & Well being of America