A
A sic code must be used to provide due process ?
True
Remember to use the _____ instead of the _____.
What is MBC / MBA
What MBR field contains the SAMBA, LEMBA, OTRAN, OTPIA, LFMBA, SFMBA ?
What is DE DATA
What special entry will be used to remove the $950.00 overpayment from Thomas Ward's MBR ?
What is AB ?
Most commonly used screen, also called the summary; used to establish or change payment lines on the MBR.
What is the HST screen (HISTORY SCREEN)
The ____ shows the reason for termination
What is WIC ?
Calculate the with SMI involved ?
MBC 2262.70
SMI 134.00
What is $2262.00 ?
which of the following BIC always have a subscript ?
What is C ?
Coded on a termination or suspension line will prevent MADCAP from posting an overpayment
What is OR SIC ?
changes a beneficiary's LAF status from being due a future payment to not being due a payment
What is deferred to suspense
If you are only coding a Termination to CON line , what is not required ?
What is a SIC CODE ?
The BA must always be aware of _______ is being coded in the HST screen and ______ it will affect the history field on the MBR.
What is what / how
Three event codes that indicate current pay status on the PHUS
What is event code 014, 042, 044
facility used to reinstate an erroneously terminated beneficiary for LAF T or X.
Used when there is no break in entitlement and the type of the is not changing.
What is RESUM
if the termination is due to the beneficiary' s death , the overpayment is posted to the _______ field on the MBR.
What is SPC PAY ?
Represents a Prior Month Accrual (PMA) check on PHUS
What is EVENT 042 PMA CHECK
This screen can be used , to determine the difference between what the beneficiary was actually paid, and what the beneficiary was due for a specific period of time ?
What is PWST (payment worksheet screen ?
the beneficiary's LAF status will change from a non-payment LAF to current payment LAF status.
What is a suspense to current
What is the RFST termination code for
Terminating a CDB disability cessation
What is T 6 CNLCDB ?
__ will used to terminate insured beneficiares
What is T
The MBR history provides a picture of what is ___________ to a beneficiary ?
What is payable ?
acronyms entered in the TO column
what is subtraction entries
action changes the beneficiary's LAF status from no payment due under this condition to a payment due on a future date
What is suspense to deferred
changes the beneficiary' status from receiving a payment to not being entitled
What is current to terminated
___ will be used to terminate uninsured beneficiaries
what is X