Pop Culture
Name the alterego comedian that is known for saying "DASSSSIIIIIIT!"
Who is Maurica
If you are looking for me, I am in the middle of a claim. My letters help you know where I belong
What is the plan / product
Medical Management and Utilization Management use it to create inpatient and outpatient authorizations.
What is Tru Care Cloud
I am looking for what the last person said or did on a call but I don't have a reference number; I can be found at the very bottom of the member composite screen
What is the Call Notes tab
The adjudication system used by Centene for denial or payment of claims
What is Amisys
My acting debut was in the movie " Valentine's day"
Who is Taylor Swift
I can come in missing important information, necessary for processing
What is a Rejected claim
Just click me to see written communication sent to the member and or the provider
What is the View Correspondence tab
The first source used to search and quote benefits
What is Omni
A list or chart of field commands, codes and names of the screens.
What is Amisys run screens
2024 American biographical movie drama depicting the 1972 Presidential run of the first African American Congress woman.
What is Shirley
This digit of a claim number provides how a claim was submitted
What is the 7th digit
I am the log of outreach communication pertaining to authorizations and case management
What is the Note tab
If a provider is looking for the LIS(low income subsidy) percentage; launch this intent
What is the Low Income Subsidy Intent
Used to display claim summary information by service line for claims entered by online or batch processing
What is Amisys IQ 1200
How many times was Ross Geller divorced on the television series " Friends"
What is 3 times ( Carol, Emily, Rachel)
This helpful tool allows the actual claim image to be seen
What is the claim viewer
I'm searching for an authorization, what 2 menu selection will help me
What are Dashboard and Auth Viewer
I need to request an appeal denial letter that is not in Cenpas. I should use this Intent
What is Claims Inquiry Intent
I am the final screen used to view ClaimsXTen"x" denials and global bundled CPT codes
What is RF0165
In 2017 this hugely popular social media platform was created
What is Tik Tok
How I present myself to you determines a lot about me, like how I am paid for instance. I come in two different types: institutional and professional
What are claim forms
The authorization is duplicated; An updated authorization was sent in within 48 hours; Authorization was not needed for a CPT code
What are the 3 common reasons an auth is Voided
Looking for me; I have routed request returned to me for follow up
What is My Workbasket
DOUBLE JEOPARDY
This editing system provides an extra step to review a claim to ensure it meets all federal guidelines. These denials come with OCE edits listed in the claim remarks. This edit will explain the reason for the denial
What are ACE edits