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Medicare provides coverage for individuals who are at end stage renal disease, those who are disabled, and individuals who are what age or older?
What is 65?
TPOC in Medicare terminology stands for this.
What is Total Payment Obligation to Claimant?
ORM in Medicare terminology stands for this.
What is Ongoing Responsibility for Medical?
These are the five key data fields required for Medicare: legal first name, legal second name, date of birth, gender, and this identifier.
What is SSN or Medicare Beneficiary Identifier?
This notice from Medicare indicates they believe they have made a payment for medical services related to an injury or accident.
What is a Conditional Payment Notice?
How many attempts must be made to obtain a Social Security Number for Medicare purposes?
What is three?
ORM should be indicated as "yes" for all injuries related to this.
What is an accident?
The medical obligation end date should be updated when ORM is terminated and this reason is inputted.
What is the termination reason?
Policy limits should be input on this tab in the resolution outcome.
What is the Medicare tab?
On the Medical Injury screen, this diagnosis code is identified as Primary.
What is the primary diagnosis driving the treatment?
Medicare requires claim data reporting for alleged bodily injuries in these types of claims.
What are No Fault claims?
If a "no claims paid" notice is received, the injured party may be on this type of plan.
What is a Medicare Advantage Plan?
On the Medical Injury Information Screen, this should be entered for each body part.
What is one diagnosis?
If the ORM termination reason is policy limits exhausted, you should enter this date.
What is the exhaust date?
For injuries related to an accident, this should be selected on the Resolution Outcome Tab under Settlement Adjudication.
What is "YES" for ongoing medical obligations?
One of the attempts to obtain the SSN must be made by this method, which is not acceptable via email.
What is by mail?
If you only have the last 5 digits of the Social Security number, you must have these other key data fields.
What are legal first name, legal last name, date of birth, and gender?
Failure to meet mandatory reporting obligations can result in this.
What is significant civil penalties for the responsible reporting party?
This is the appropriate time to begin completing the Medicare screens.
What is as soon as coverage is confirmed?
NJ claim, NJ policy, last BPIP Med payment made was 11/1/2025, this would be the appropriate Medical Obligation End Date. Daily Double attached*
What is 11/1/2027?
Daily double-Last Med-Pay payment or last payment was to Medicare this would be the Obligation End Date: 11/1/2028
NY claim, NY policy, last treatment date was 6/1/2025, this would be the appropriate Medical Obligation End Date.
What is 6/1/2030?