Billing Test Review

Bill Status

200

SUSPENDED

Bill has not fully processed allow 28 business days from the Rcvd to process 

200

denied- Prior authorization is required to be a component of another procedure billed for the same date. 

there is a px CODE THAT IS BEING MIRROR WITH ANOTHER PX CODE FOR THE SAME DOS

300

DENIED- BILL DX NOT RELATED T ACCEPTED CONDITIONS. IF YOU DISAGREE SUMIT MEDIAL DOCUMENTATION 

DX CODE USE ON THE BILL IS NOT RELATED TO THE ACCEPTE CONDITONS ALREAD PRE-APPROVED FOR THE CLAIMANT. 

400

PRIOR AUTHORIZATION IS REQUIRED FOR SERVICE AND NO VALID AUTHORIZATION IS ON FILE FOR THE PROVIDER.

PROVIDER DID NOT SUBMIT THE BILL WITH A PRIOR AUTHORIZATION 

500

IS THERE A TIMELY FOR ADJUSTMENTS? YES/ NO

NO TIMELY FILING FOR ADJUSTMENTS 

General Bill Info

200

WHERE DOES THE OWCP ID GO ON A 1500 FORM

BOX 33

200

when looking for a bill, we do NOT look for the recent submitted bill. True/False

FALSE- YOU DO LOOK FOR THE LAST SUBMITTED BILL BASE OF THE " ADJUDICATED DATE"

300

WE ONLY advised pay and report under the " error description". True/False

false- only advised DENIED lines under " error description"

400

can claimant submit bills online? YES / NO

NO- only MAIL/PAPER

500

WHAT IS THE TIMELY FILING FOR A BILL?

1 YEAR FROM THE DOS TO SUBMIT BILL

Billing eCams Navigation

200

 WHAT "FILTER BY:" CAN I USE TO LOOK FOR A BILL IN HTE MAIL ROOM 

CASE ID

OWCBP PROVIDER  ID

200

WHAT TAB DO I SELECT TO LOOK FOR THE PX CODE ON THE BILL 

SERVICE LINE LIST 

300

WHERE DO I FIND HOW TO SUBMIT A ADJUSTMENT DDE? WHAT IS THE NAME OF THE TUTORIAL 

• Checking Bill Status and Retrieving Remittance Vouchers (RVs) (last updated 08/31/20)

400

HOW DO I LOOK FOR AN APPEAL STATUS FOUND IN  THE MAIL ROOM? STEP BY STEP 

If appeal is RTP(Found in the MAILROOM) – check DCN using Task under Admin TAB  

1. GET DCN 

2. ADMIN TAB/TASK/ FILTER BY: DCN 

3. CLICK ON THE DCN NUMBER 

4. RTP REASON WILL BE IN RED LETTERS

500

HOW DO I CHECK HOW THE BILL WAS PAID ? 

GET RV NUMBER/ PAYEMENT TAB FILTER BY: RV NUMBER

Web Portal billing tutorials

200

WHAT IS THE NAME OF THE 3 FORMS PROVIDERS CAN USE TO SUBMIT A BILL 

Health Insurance Claim Form (OWCP-1500)

Uniform Health Insurance Claim Form (OWCP-04)

ADA Dental Claim Form

200

in what tab is the " Adjustment form" in?

RESOURCES

300

what is the name of the appeal form? 

FEE SCHEDULE APPEAL 

400

WHAT IS THE MAILING ADDRESS TO SUBMIT A UB-04 FOR DEEOIC? 

General Bills    
    PO Box 8304
    London, KY 40742-8304

500

WHERE CAN I FIND THE PAYER ID?

RESOURCES/FAQ/ 

The electronic payer ID’s per program have not changed during the transition.

•    DFEC:  77044
•    DEEOIC:  77103
•    DCMWC:  77104

Claimant Billing

200

OWCP-915 IS TO SEEK WHAT TYPE OF REIMBURSMENT?

MEDICAL TREATMENT

MEDICAL SUPPLIES

PRESCRIPTIONS

200

FOR WHAT WILL A CLAIAMNT SUBMIT A OWCP- 957

TRAVEL MILEAGE

PARKING

TOLLS

300

RECEIPTS ARE NOT REQUIRED FOR CLAIMANT MEDICAL REIMBURSEMENT WCP 915 FORM. TRUE./ FALSE

FALSE

400

CAN A CLAIMANT SEE THEIR BILLS ONLINE? YES / NO 

YES 

500

ON A OWCP-957 CLAIMANT DO GET REIMBURSE FOR GAS RECEIPTS. TRUE/ FALSE 

FALSE- WE DO NOT REIMBURSE FOR GAS RECEPTS. THERE IS A SET AMOUNT PER THE FEE SCHEDULE PER MILE WILL BE REIMBURSED.