UB
HCFA
Hold Code
PowerSTEPP
Definitions
100

The assignment of benefits will appear as "Y" or a "N" on which box?

What is Box 53?

100

The assignment of benefits will have "Signature on File" in which box?

What is Box 13?

100

What hold code will appear when payment assigned to the member/subscriber is greater than $500?

What is \P?

100

What field on the CL1032 indicates to whom payment will be released?

What is Pay?

100

Assignment of Benefits

What is an authorization to reimburse claim benefits directly to the provider of service?

200

The Medicare Assignment of Benefits is indicated with a "Yes" in which box?

What is Box 27?

200

What field on the CL1033 indicates to whom payment will be released to?

What is Py?

200

Medicare Assignment of Benefits

What is the provider is agreeing to reduce their total charges to Medicare rates?
300

Which screen would the claims analyst view to determine if a call was made to the provider or the member to request payment confirmation?

What is CL1083?

400

Who would the claims analyst contact first if the hold code is generated indicating the payment is greater than $500 to the member?

What is the provider?