MedRisk 101
This person created MedRisk in a college class in order to be a liason between providers and insurance companies
What is the Sedgwick EVS lookup?
The meaning of QIL
What is Quattro Inquiry Log?
A feature we use for Sedgwick to verify the employers contracted sign on date, and term date if applicable.
What is Get Client Pricing Status?
What is the state map?
The co-ceo of MedRisk (she was also the CEO for Broadspire)
Who is Danielle Lisenby?
The tool we use to print EOBs
What is Print EOBs?
A tool we use to look up authorization
What is the PM Search?
Feature used to verify if a code priced correctly for one unit for a specific zip code
What is the Fee Schedule lookup?
The individual we would escalate a write off to if the amount was $600
Who is our TL?
MedRisk Core Values
What are innovation, accountability, one team, leadership, and customer focus
The feature we use to see the history/workflow of a bill
What is the Last Assigned To (LAT)?
A task we work when bills have aged 180 days
What is Aged AR?
Used to look up a bill to find why it was rejected
What is reject reason?
The location were we would find the process of rebills, recons, and provider exclusions as well as how to make outreaches to our clients.
What is the client questionnaire?
In what year was MedRisk founded?
What is 1994?
Top 3 Carriers with their own lookups
Who are LM, GB, and Sedgwick?
A feature used to move a package to a different case
What is Package Assignment?
The purpose of Medata
What is to reprice bills?
The purpose of the Consolidated Carve Out List
What is verify an employers contract with MedRisk?
The 3 Directors of Revenue Operations
Who are Jim, AJ, and Jeanelle
The breakdown of the START note
What are source, topic, analysis, resolution, and tell the provider?
The team responsible for creating inquiry logs
Who is CIT (claims inquiry team)
Where we go to verify whether a carrier is a Medata client
What is the Last Assigned to?
The path bills go through
What is the happy bill path?