IYK, YK
Claims
Benefits
HRP
Randoms
100

Member responsibility on claim ID.EGADRQZ4D 

$0

100

If you do not use me per quarter you lose me.

Overt the counter (OTC)

100

This tab can lead you to Benefit Adjudication Details 

Lines

100

Florida pcp can only be updated on...

 The first of the following month.

200

I must contact member services to update these personal information...

Name, Address, or Date of Birth

200

Plan paid_____ amount on claim ID EGADRQZ4D 

$99.70

200

You call me for your hearing aid fitting and evaluation. Who am I ?

NationsHearing

200

This tab is known to provide agent IDs of representatives who would have worked the claim. 

Audit log

300

The billed amount on claim ID ---EGADRQZ4D

$211.50

300

Visits are limited to active/corrective manual manipulations of the spine to correct subluxation...What is?

Chiropractic Services

300

Provider's NPI for claim ID EJY2Q6TLX

1760542732

300

Medical care to help increase quality of life for those with a terminal illness, allowing them to live as well as possible for as long as possible.

Hospice care

400

Total turnaround time is 60 days from the date of the request. Recommended to call providers to hold off billing within this time. What is?

Co-ordination of benefits (COB )

400

Clear indication that a claim is being reworked.

SR box is blue below the claim rework heading

400

Visits to diagnose or treat injuries and diseases of the feet (such as hammer toe or heel spurs).

Podiatry services.

400

The _____ tab is home to the transaction ID that provides details on the payment status

Summary 

400

MBI validation is required for ...4 things

  1. Email update
  2. Tel phone
  3. ID number- Need member ID
  4. Address update
500

When Should You NOT Use Stop Pay & Reissue? Give 4 reasons

1.Claim paid to the wrong payee

2.Incorrect claim payment

3.Overpayment issue

4.Claim needs correction or adjustment

500

CPT code and description for claim ID EJY2Q6TLX

G0463 Hospital outpatient clinic visit for assessment

500

In-network: $390 per day, days 1-6; $0 per day, days 7-90 | Out-of-network: 45% per stay. What benefit do I depict?

Inpatient hospital stay

500

Sequestration amount can be located on this tab...

Totals