Name that System
CLAIM not on file
What is Echo
Name ways you can search for claims
What is by UHC subscriber ID or Name and DOB
True. There is a PCP Lock in requirement.
What are institutional and professional medicare claims
Type of appeals you can see in system
DSNP appeals
DSNP appeals
What is ATS
Login information
What is MS ID and Password
TN Medicaid allows for providers to change a member's PCP via this option.
What is the Provider Portal
Claims prior to 01.01.24 this entity processed the cross share.
Who is the state
Where you can go to see the notes
What is the notes tab
SOPs are stored here
What is Knowledge Central (KC)
Can be used to see the journey of the claim
What is Journey of a Claim
When you create this assignment in ICUE the TAT is 1 business day
What is a Member Referral
Who are the Tennessee Titans
We can find letters sent out in this tab
What is Document Inventory
Main system for assisting Providers
true or false you can see a claim form in ECHO
True
This tile on the C&S Claim Research Tool can help us validate NPI requirements
What is the NPI/Taxonomy tile
This animal was officially named the state Tennessee animal in 1971
This tab will show you the claim details and information
What is Claims and Effectuation
System for claims adjustments
Use for Echo
What is to search for claims not on file
True or False. TN Medicaid OON authorizations requests require a PCP referral.
False. TN Medicaid OON authorization requests do NOT require a PCP referral and/or a Participating Provider request
This popular soft drink had its birthplace in Tennessee in the 1940s.
What is Mountain Dew
What is APRIL tool