Remark Codes
This is the offset for Timely Filing
What is TO?
True or False - An ER visit is an exception for an authorization
True
Maintenance - Q,R,S,T - Remark Code
What is where to look up a remark code?
This is the tool you use when working the Proc Code or D100 workflow queue
What is Select Coder
OD
What is the offset for PSDP
The initial evaluation does not require an authorization for what type of services?
OT/PT/ST
The area you look on a CMS-1500 to verify if it is a corrected claim
What is the FREQ
If your duplicate claim number is not showing in claim notes it can be found here
What is the Modify Screen
IPNS
What is the remark code added to indicate a scanning error
Patients are allowed 200 units of this type of service without an authorization
Behavioral Health?
This is where you can find the definition and offset info about a remark code
What is Maintenance
Modifiers are under this tab
What is Clinical?
Level 1 adjudicators do not process these types of claim forms
What is a UB
(N)
Indicates a Non-Displayable Remark code
This is the number of PT/OT/ST visits that are allowed without an authorization
What is SIX
A system generated image of the claim information in Aldera on a claim form
What is Rendered Form?
This is the tab you click to verify the members PCP
What is PCP History?
This Remark Code indicates that Primary Insurance info is required
What is EO?
Providers can bill for up to 48 hours of this without an authorization
What is Observation
Frequency 7 claims are claims that have been
What is corrected
You must change Narrative to "No" and Enter a date in this box....
What is Processor Comment
You should do this with every claim before going into Modify
What is Resubmit?