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
Acronyms entered in the TO column
What is subtraction entries ?
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 type of _______ action is determined by the beneficiary's _____ ______.
What is adjustment / LAF status
This facility allows summarization of a different continuing monthly rate one month beyond the COM.
What is drop-down facility?
What was ______ to the beneficiary is what the beneficiary actually received in hand.
What is PAID ?
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
Calculate the MBC with SMI involved ?
MBA $2262.70
SMI $135.50
What is $2262.50.
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 ?
What event code will be posted to the PHUS record when using an addition acronym to issue an underpayment ?
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 ?
What special entry will be used to remove an overpayment of $950.00 from Thomas Ward's MBR ?
what is AB ?
What doe the BA need to code in the MR field to reentitle the ben
What is suspense to deferred
changes the beneficiary' status from receiving a payment to not being entitled
What is current to terminated
You receive an output that instructs you to suspend BIC C1 benefits for "develop of payee" what suspension code will use on your HST?
What is 8 DEVPYE ?