medical claim history
what is a claim ID ?
the number that identifies the claim .
where do you find the "paid date" ?
under "claim data" .
where do you find "claim view" ?
under "new task notes" .
what is a procedure code ?
medical classification of a service done .
what is the "date box" used for ?
to search a claim by DOS (date of service) .
where do you find the "charged amount" ?
under "claim history top bar" .
where do you find the "procedure code" ?
under "claim line" .
what does the "considered charge amount" mean ?
why is it important to know how to look up codes ?
to know what kind of service was completed / to be better informed .
before you input a date - what should you check & why ?
"new task notes" to ensure you dont lose any previous notes .
why is a provider name listed ?
where do you find the "status" of the bill ?
under "claim data" .
what is the "calculated paid amount" ?
what UHC actually paid .
where do you find procedure codes ?
claim view : top bar / claim drop down : claim line .
why is it important to know how to read a claim ?
to help our members understand / assist in solving .
where do you find the "status" of the bill ?
under "claim history top bar" - will say completed , pending , or adjusted .
where do you find the "disallowed explanation" ?
under "claim line" .
why would we need to use the "provider/network" tab ?
to find out if they are INN or not .
how do you read/understand a procedure code ?
by utilizing the "procedure code description" under the claim number OR you can google it .
what tool can you utilize for claim denial codes ?
"claim denial look up tool" found in KC .
what does the "paid amount" mean & who pays it ?
the amount paid to provider . UHC pays that amount .
why would there be multiple claims listed ?
what information is listed under "line item paid" ?
the allowed amount for the service & what we actually paid .
what service is the procedure code :19318RT for ?
repair / reconstruction procedure on breast .
did you find this training helpful ?
h e double hockey sticks yeah !