IVIEW
what type of claim form is 16236401421412?
UB04
XNET will have the same username and password as _____ and _____
CED and CPF
what command in ViPr will direct you to Common Claim Record Screen?
CCR
CMS 1500 is used by ___________
professional providers
another term for UB04
CMS-1450
what is the image number for DOS 04/14/2016 billed for $35300.00?
17086600635482
what is the claim key used for Oneview claim 8221735402694?
17354-6POLKF000
what information in Common Claim Record Screen is used in XNET?
Claim Key
In a HCFA 1500 form BOX J shows:
Rendering Provider NPI
In what Box of a UB04 are HCPC codes found?
Box 44.
when was image number 17086600635482 received?
03/27/2017
who is the rendering provider reported under claim key 17354-6POLKF000
PAUL FROBERG
which ViPr indicator will require you to check Xnet if you want to view the claim image?
"CCR: E" or "CCR: P"
Image 18036401629102:
Is Claim related to work?
NO
Iview 18078303978722 what is the definition of the admission type code?
3 - Elective
what kind of document is image 18304101148792?
Appeal/Member Appeal
what is the principal diagnosis billed under claim claim key 17354-6POLKF000
S80.01XA
Code definition is accessed by what key?
F1
In what Box of a HCFA1500 is assignment of benefits accepted?
BOX 27
what does revenue code 0172 mean?
Nursery Charges; Newborn - Level II NURSERY/LEVEL II
what is the claim number assigned to image 16085700264922 when it was loaded in Oneview? or ViPr?
9221606391765
If you will need to search a claim key in XNET, the Global index group name used is _______
GIX03
Scenario, provider wants to know if claim 9671636290646 was processed with a paper claim or an electronic claim, what will be the applicable action.
a) transfer to onshore
b) refer provider to their clearinghouse
a) transfer to onshore
claim image 16053301174192, what is the authorization number noted on the document?
B3HDM3K1
claim image
18248300216152
what is the type of bill of the claim
111
Hospital
Inpatient (Part A)
Admit Through Discharge Claim