Abbreviations
EOB
What is the abbreviation for Explanation of Benefits?
The screen in which the patient's registration and demographics are contained
What is the Quickview?
What is Vaccines for Children?
What is a Recoupment?
The name of the hold that is put on a claim when it has denied for no Authorization
What is AUTH?
POS
What is the Abbreviation for Place of Service?
This worklist is the main worklist that PMDS Medical Billing Associates are assigned claims from.
What is the Default Worklist?
a type of fee that providers may not bill Qualified Medicaid Beneficiaries for
What is a No Show Fee/Missed Appointment Fee?
the name of the form that must be filled out when we are issuing a manual refund
What is a Parallon Form?
This hold requires you to Attach Medical Records to a Claim
What is Hold #2804?
PBB
What is the Abbreviation for Provider Based Billing?
the location of batches and records that have dollar amounts that cannot be posted to athena claims
What is the Unpostables Dashboard?
This type of claim is not accepted by NC Medicaid if the claim has not been paid on before
What is a corrected claim?
The name of the form Medicare requires to be filled out when an overpayment is self-identified
What is a Voluntary Overpayment Form?
This hold is when a possible Medicaid Billing violation has occurred
What is MCAIDBAL?
CPT
This interface contains a green Action Button where you can add kick codes, Transfer a Balance, resubmit to payer/Appeal, and Adjust a Balance
What is the Claim Action Page?
This type of form is required if a sterilization is performed
What is a Consent Form?
the payer that requires a voluntary refund if the refund amount is lower than $110.00
What is Tricare 4 Life?
this Hold is placed on a claim when the document or EOB uploaded is illegible or hard to read
What is FIXATTACHMENT?
ABN
What is the abbreviation for Advance Beneficiary Notice?
The database of information that contains articles and guides related to Athena questions
What is O-Help?
the Legislative Visit Limit for Medicaid patients in North Carolina is Limited to this many visits per Calendar year
What is 22 visits?
The number of days that a patient cannot have an appointment scheduled in order to be eligible for a refund
What are 90 days?
this hold is placed on the claim when additional medical records are being requested
What is ADNMEDREC?