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RNB's
Billing Basics
Site Specific
ROI
Split Policy
100
This RNB is used when billing EKG code 93000
What is RNB CHARGES SPLIT (BL01)?
100
This is the rate type used for billing an Outpatient Claim
What is RATE TYPE 8?
100
This is the Blue Policy that is used when billing in Syracuse.
What is BCBS Central?
100
This is the option in Claims Tracking that you would select to view a ROI.
What is the RO Option? (ROI Consent)
100
This where you bill the CMS-1500 when the Policy is a YLS or YLA?
What is UHC?
200
This RNB is used when billing for an Insurance that covers Emergent Care only, and the CPT code is not an ER Visit
What is RNB HMO POLICY (CV03)?
200
This is the option in your bill that you can view the veteran's insurance policy details from IV
What is (?INX) ?
200
This is the Coding POC for NYH.
Who is Robert Catani?
200
These are the Protected Conditions of a ROI.
What is Drug Abuse, Alcoholism, Sickle Cell Anemia, and HIV conditions?
200
This is the bill form type that is used when utilizing the MACRO.
What is the UB?
300
This RNB CODE is used when there is a Noncovered Provider attached to your encounter that you cannot bill for.
What is RNB CV20?
300
This is the coding method that is used for the UB when billing Outpatient claims
What is coding Method ICD?
300
This is what you do when you only have BCBS Central and you are billing in Buffalo
What is send to IV to load BCBS Western?
300
This is the cancellation code used when a ROI is not on file.
What is XMC12/ROI/(Drug/Alcohol/HIV)/DOS?
300
This is the Alpha Prefix for the Empire/GHI split policy.
What is NYC?
400
This RNB CODE is used when billing a Non Provider CBOC
What is RNB BL04
400
These providers are needed when billing an Xray Visit on a professional claim
Who is a Rendering and Referring provider?
400
When Billing in Albany this is the Federal Policy that you would use when billing a Professional Claim.
What is BCBS Western?
400
After canceling for an ROI this is what you update in Claims Tracking.
What is Required in Review Info (RI)?
400
This is how you set up your insurance on the UB when the MACRO states Bill to UHC with Empire Denial, when Medicare is Primary.
What is Medicare Prime, Empire Secondary and UHC Tertiary?
500
This RNB CODE is used when a Veteran only has Tricare and is seen as a Veteran and does not have OHI
What is CV27?
500
This provider must be deleted from each procedure code on the UB
What is the Rendering Provider?
500
These 2 Blues policies are found in Albany and Buffalo and require E/M's to only be billed on the profee.
What is BCBS Western and BCBS NorthEastern (HealthNow)?
500
This date is the date that must fall between the Effective/Expiration date of the ROI, in order to bill.
What is the 'date you are billing the claim'?
500
This is the command prompt you use to determine if you have a split policy.
What is ?INS