Claims Management
This is the name of the EDI Transaction and corresponding Quadax solution that ensures a claim has been received and adjudicated by an insurance payer.
What is a .276 and Advanced Claims Status
This is the portion of Patient Access that determines if the patient will pay their bill.
What is Propensity to Pay/ Financial Clearance?
This company is the resulting merger of McKesson and RelayHealth.
What is Change Healthcare?
This is the only EMR that Quadax has claims integration for.
Who is Epic?
This is the Oregon town that Blair works form in Summer.
What is Bend?
These are only avaialable in Texas, Louisiana, Georgia, South Carolina, Missouri, Michigan, Indiana, Illinois, Ohio, Pennsylvania, and Kentucky.
What are ICV Medicaid Edits?
- CoPay
- Deductible
- Co-insurance based on CPT Codes
What are the three parts of patient responsibility?
This Clearinghouse is owned by Allscripts
What is Payerpath?
This EHR Vendor is moving clients over to its TruBridge platform.
Who is CPSI?
These three company values can be found on the homepage of the Quadax website.
What are-
Create Value.
Champion Health.
Never Settle.
This is the tool that looks for remit files that have not been delivered to update their status.
What is Missing Remit Wizard?
What is insurance discovery?
This clearinghouse works with Nextech on a partnership level, but has no integration.
What is Trizetto?
Quadax only has eligibility integration with this vendor, but has recently applied this integration to our PAM solution.
Who is Meditech?
He is the Vice President of Sales for our Revenue Cycle Services division.
Who is Harley Ross?
Three places that an organization can have a claim stopped for errors.
What are clearinghouse rejections, payer rejections, and denials?
Hospital, Ambulatory Surgery Center, Anesthesiology, Cardiology, ENT
- This setting is not a good fit for Patient Access
What is Anesthesiology?
This Clearinghouse was recently purchased by Waystar in December 2019.
Who is Recondo?
This vendors headquarters are in North Kansas City, MO.
Who is Cerner?
This is the street address of the MH1 office in Middleburg Heights.
What is 7500 Old Oak Boulevard?
Adding a modifier, suppressing an edit, requiring management review are all examples
What are three types of XPressBiller Rules?
Of the below this is not returned on an eligibility transaction:
Deductible and Remaining Deductible
Prior-Authorization Need
Co-Pay
Exclusions
Limitations
Co-insurance
What is Prior-Authorization Need?
These four clearinghouses integrate with eClinicalWorks.
Who are Trizetto, Change, eSolutions, and Waystar?
This EMR vendor has versions including Paragon, Practice Fusion, Sunrise, and Touchworks.
Who is Allscripts?
The year that Quadax was founded.
What is 1973?