Claims
Amisys Navigation
Lines of Business
Amisys Terminology
100

The correct description as it appears in Amisys/Golden for 97022

APPLIC MODAL 1/> AREAS; WHIRLPOOL


100

Amisys Screen for a Provider Search

IQ0200

100

This program is a health insurance designated for children whose families earn too much money to qualify for Medicaid, yet cannot afford to purchase private health insurance.

CHIP

100

Provider Status code for Credentialing Pending

CF

200

The correct description as it appears in Amisys/Golden for modifier T5

RIGHT FOOT, GREAT TOE

200

Amisys screen for a Provider Affiliation

PR0300

200

A Medicaid managed care program serving low-income families at no cost to them.

Star

200

Provider Status Code for an out of area primary care provider

OP

300

The correct description as it appears in Amisys/Golden for 70320

RAD EXAM TEETH; COMPLT FULL MOUTH

300

Amisys screen for a Claims by Member

IQ1300

300

This program is a cost sharing plan offered by Centene and is a commercial HMO benefit plan using network providers/service?

Ambetter by Superior HealthPlan

300

The acronym meaning for PSQ

Pay Service Qualifier

400

The correct description as it appears in Amisys/Golden for modifier 82

ASSISTANT SURGEON (WHEN QUALIFIED RESIDENT SURGEON NOT AVAIL)

400

Amisys Screen for Fee Schedules

IQ3400

400

This program is a fully integrated Managed Care model for individuals who are enrolled in Medicare and Medicaid. 

MMP

400

This field is considered a mini PAYCLASS and also contains configured PSQs that Amisys recognizes first.

Except Fee
500

The correct description as it appears in Amisys/Golden for 33362

REPLACE AORTIC VALVE OPEN

500

Character that must precede a TIN when searching or a provider on the IQ0200

*

500

This program is a Medicaid Managed Care program, integrated delivery of acute and long-term services and support, for children and young adults aged 20 and younger.

Star Kids

500

 The correct description for acronym DRG

Diagnosis Related Grouper