The action code to request other insurance information
What is 586
100
The benefit code for a specialist office visit
What is PSV
100
How you override a duplicate edit when processing a claim
What is shift F3
100
Before processing any claims this must be handled first
What is correspondence
100
The cause code used for processing all dental claims
What is DT
200
The action code to request accident details
What is 529
200
The benefit code for inpatient ICU room and board
What is HIC
200
The cause code used for transplant claims and all related services
What is TR
200
A patient going to an in network hospital and having surgery performed by an in network surgeon but the anesthesiologist is out of network would be an example of when we would give this
What is ppo exception
200
Prophys, bitewings and flouride are normally covered under which class of dental benefits?
What is Class I
300
The action code to deny a service as not covered under the plan
What is 729
300
The benefit code for physical therapy performed in a doctor's office
What is PHT
300
The correct way to set up a maternity line for an uncomplicated pregnancy
What is MA 630 Normal Pregnancy mm/dd/yy
300
The initial onset of an illness or injury is known as this
What is incurred date
300
The benefit code you would use for a dental extraction
What is DTB
400
The action code to deny a claim as a duplicate
What is 699
400
The benefit code used for a clinic visit done at the hospital, billed on a UB
What is HOV
400
The option of the adjudication attention menu where you will find detailed provider information
What is option 3
400
This program will let you look up any call, correspondence or claim that is on file for an employee. It is sometimes referred to as the patient's electronic chart.
What is Doc View
400
How crowns are covered under class III benefits
What is 50% subject to the deductible
500
The action code to request a certificate of credible coverage
What is 125
500
The benefit code used for inpatient professional lab and xray charges
What is HEP
500
This function waives a copay when entered in the f-cd field
What is F
500
An "N" in the PPO Bene field of the processing screen with a sub benefit level of 02 indicates the provider is this