This information is not available when there are 10 or more claims attached to a claim check
What is a claim number
200
100% of the IHD for each benefit period.
What is the Part A - Inpatient Hospital Deductible
200
The payout percentage for Medicare will be increased until Medicare ultimately pays 80% of mental health services. The percentage payout will phase in gradually, beginning in 2010 and ending in 2014.
What are Mental Health Benefits
200
Plan MY is also know as
What is the AARP Medicare Supplement Plan 1
200
the stay immediately follows a covered hospital stay
What is the SNF benefit
200
If a provider is warm transferred from the AARP Membership Office, do not do this.
What is transfer to the PES.
300
Has a lifetime maximum of $50,000.00
What is the Foreign Travel Benefit
300
This benefit was under used and an outdated limited benefit
What is the At-Home Recovery Benefit
300
You can not us my state mandated benefits outside of me
What is Massachusetts
300
It pays an additional benefit equal to
the hospital daily benefit amount.
What are stays in an ICU/CCU/BCU
300
Monday through Saturday 24 hours a day
What are the PES hours of operation
400
The amount that a provider who does not accept assignment is permitted to charge.
What is The limiting charge
400
MIPPA stands for this
What is Medicare Improvements for Patients and Providers Act
400
This state offers a bebefit of 80% Usual & Prevailing - No Deductible/Trip Period Max on Emergency Care Outside the United States
What is Minnesota
400
Benefits for IMs under age 65 are different from benefits for IMs age 65 and older.
What is The Benefit Structure On HIPs
400
If a provider expresses their concern over the natural speech feature, explain they still have this option
What is the touchtone option
500
The hospital stay must begin while the IM is covered by the plan. If the hospital stay begins prior to the plan effective date, the entire stay is not considered, regardless of length.
What is Prior To The Effective DateProvision
500
Eliminated plans
What are Plans H, I, and J
500
Bone Marrow Transplant are covered in this state
What is Massachusetts
500
The total number of days of all successive
hospital stays for the same or related causes.
What is a Period of Hospital Stay
500
The PES system cannot handle these types of plans.
What are Waiver State plans, Long Term Care plans, HAP Plans, MAP Plans, SMP Plans, or Rider Plans
(must answer 4 of the six)