MAJOR PLANS AETNA/CIGNA UNITED ETC NON CAID NON CARE
PIP
WEBHIS RUMBA AERGO
CODING/ BILLING
100
MEDICAID HMO ID
ID BEGINNING WITH 7
What is AMERIGROUP
100
23% reduction from billed charges outpatient
What is cigna
100
INVOICES MUST SENT
What is IMPLANTS
100
3 and a 3 or a 2 and a 2
What is FLAGGING SECONDARY
100
BILL TYPE 137 117 147
What is CORRECT BILLS BILL TYPE
200
PLAN PAYS AT 146% OF OUTPATIENT FEE SCHEDULE FOR RADIOLOGY AND LABS
What is HORIZON NJ HEALTH
200
ct scan code 350-352 ,359 per unit pays 1331
What is united or oxford
200
DAILY CAP ON OF 105 PER DAY
What is PIP PT
200
SYSTEM USE FOR BILLING CALCULATION REIMBURSEMENT
What is EBILING
200
YOU FLAGGED YOU NOTE SYSTEM DO NOT BILL ELECTRONICALLY AND YOU SUBMIT THE BILL WITH NEW CHARGES COVER LETTER AND INCLUDE CLAIM NUMBER- MAYBE CLOSED AFTER SUBMISSION IF NO ADTL PAYMENT WILL BE MADE
What is FLAGGING FOR LATE CHARGES
300
ADDRESS PO BOX 31372 TAMPA FL 33631
What is WELLCARE
300
pays 5600 max amount or 70% of charges for same day
What is amerihealth
300
PAYS 2400 PER DIEM MED SURG
What is FIRST MCO WC
300
THESE ACCOUNT DROP ON THE FIRST WEEK OF THE MONTH
What is CYCLE ACCOUNTS
300
this new hold code is added when UPDATED AND NP ACCOUNT TO NEW INS
What is N9
400
ALL INPATIENT SERVICE PD AT 105% OF NEW JERSEY MEDICAIC DRG
What is AMERIGROUP
400
AMERIHEALTH PLAN THAT FOLLOW MEDICARE REIMBURSEMENT
What is VALUE NETWORK MEMBERS
400
ER MODIFIER ADDED TO THE CODE ON THE ER BILL
What is A PIP BILL
400
Most eligibility verification is done via this system
What is passport
400
NEW REVISION TO SELF PAY BILLS
What is NEW PATIENT STATEMENT.
500
CODES 278 274 275 ARE REIMBURSEBLE
What is IMPLANTABLES
500
for any case that contains procedure code 17.41 and 17.42 a specified payment will be made
What is robotic
500
SYNCHOMED PUMP IS SPECIFICALLY LISTED AS A CARVE OUT IMPLANTABLE FOR THIS CONTRACT
What is HORIZON CASUALTY
500
N4 00310072010 ML 10 J9395
What is NDC#
500
WHAT IS PDAB , CERTIFIED ,MCS ,CSW, NATIONAL REVCOVERY, NPAS