Functions
used to manually enter claims, and process live duplicate claims
What is Function 8
box 24 J
Where is the rendering physician NPI located?
HMO 7 and HMO 18
What HMO's do we process claims for?
Shoa Malik, Nicole Naquin and Jennifer Matukaitis
Who are the primary project contacts?
The payer of last resort
What is Medicaid?
uses to open an batch "in use"
Box 33
Where is the billing provider or master vendor information located?
DME (POS 12), Independent Lab (POS 81), Ambulatory Surgical Center Facility Claims (POS 24), Ambulance Claims (POS 41 or 42)
What are providers who do not have to bill a rendering NPI in box 24 J?
Center for Medicare and Medicaid services acronym.
What is CMS?
live claims from your queue are processed here.
Function 27
Box 33 A
Where is the billing provider or Master Vendor NPI located?
Arizona Health Care Cost Containment System
What is AHCCCS or Arizona Medicaid?
UB-04
What is Uniform Billing form for facility claims?
Provider contracts are viewed here.
What is Function 13?
Box 21
Where the diagnosis codes are located?
Shoa Malik, Nicole Naquin and Jennifer Matukaitis
Who are the Primary Project Contacts?
used to view claim information only.
What is function 49?
Box 26
Where the Patient account number located?