The Unlimited line is an additional line that is used when the Allowed amount has been reached.
100
These three points are what has to be on the Auth to be considered a match
What is
1. Member ID number or member name
2. DOS with authorized DOS
3. Provider ID, Tax ID or NPI
100
This claim level override will be used if you BLVD (BLIND PROVIDER REVIEW)
What is Bypass preauth Edit with EX Code 034
100
A group of crows is called a ________
What is murder
200
To verify provider Tax ID I would do what steps in careone?
What is Search> Provider, (Name, NPI, Careone ID, ) ID Attributes > Federal Tax ID
200
this EX code is for a DOS Match
What is 025
200
These two POS are interchangeable
What is What is 11 and 22
200
This SOP you will use when you have a UM1 or UM2 ICES Denial
What is UMRV -OP
What is IPAT- IP
200
1 in 5 of the world’s doctors are ______
What is Russian
300
To Search for a memebr in Careone I would do what steps?
What is Search > Member> Member Last Name & DOB> Double click on member
300
This EX Code is for a DOS Overlap
What is 026
300
In Facets to search all possible auth matches you would
What is Click Match UM, Display all , Search
300
Auth is not required when you have this rev code.
What is 450-459
300
Banging your head against a wall uses calories an hour
What is 150
400
To Search for a Carecore Auth you would do this,
What is Search> Notification> ID Type> Carecore Authorization Number> Click include Deleted> Search
400
This EX Code is for Provider of service Matched
What is 027
400
This macro is used only for warning message AUTH Prospective UM Notes Exist
What is Alt+J
400
This POS does not require AUTH
What is POS 23
400
California consumes more _______than any other product.
What is Bottled Water
500
In your head think of any number, Multiple that number by 2. Than add 6 to that number. Divide by 2. take the number you just got and subtract it from your original number.
What is 3
500
On average, 2 ________ will be given to the wrong parents every day.
What is Newborns
500
The human body is comprised of ___ water.
What is 80%
500
This is For 1000
This plan does not require Pre Auth.
What is PPC
500
The human heart creates enough pressure when it pumps out to the body to squirt blood __ feet.