Show:
Timely Filing
Secondary Billing
Consolidated Billing
Appeals
Follow-Up/Claim Status
100
11
What is the place of service for an office visit
100
The hold your claim is placed on when it is returned from another department.
What is HDRTN
100
The procedure code used for an exam, consult, etc. on a PSCLM.
What is DV?
100

What is a Level 1 Appeal?

Initial response to a claim denial OR a follow-up response to a reconsideration.

100
The default code used for invoices from the UK without a diagnosis that are over 1,000 USD.
What is DFGBR
200
99
What is the place of service for a pharmacy
200
The hold you put your claim on when you receive an error from Quality and correct the error.
What is HDQAR?
200
The procedure code used for an outpatient surgical procedure processed on an INCLM?
What is OFS?
200

If given the choice, do you sent a reconsideration or a LV appeal first?

Reconsiderations are first line response to a denied claim IF given the option. 

200
The pend code used when a drug is over the counter per the World Standard Database - coded as RX without a signed script.
What is PN011?
300
21
What is place of service for an inpatient stay
300
The hold you place your claim on when you are referring it to have a bank loaded?
What is HDBNK
300
The procedure code used for a "consulting physician" during an inpatient stay - broken out with a service description and doctor's name next to the charge?
What is DA?
300

An OON Medicaid denies a claim, what type of appeal do you send? 

No appeal is required, we are OON and will not receive payment. 

300
The amount of money in USD that your invoice can be without a service description and still be paid.
What is 300 USD
400
PSCLM, INTHOS, No services coded as a DV
What is place of service 22
400
The hold your claim is placed on when it needs to be reviewed by the medical team
What is HD008?
400
The procedure code for a routine vision exam with a diagnosis of myopia.
What is VE
400
The procedure code used for a crown, inlay, or onlay filling.
What is RM?
400
The default code used when no itemization is received and each service pays at the same benefit when split evenly.
What is DF006?
500
INCLM, ER Visit
What is place of service 23
500
HD041
What is the hold for a sanctioned country?
500
The procedure code for a child preventative exam age birth - 2.
What is WC001?
500
D0330
What is the procedure code for a panoramic x-ray?
500
PN005
What is the pend code for