MA/MAHMO
Medicare/Medicare Advantage
Auto/WKC
Blues Clues
System
100
The COB order of an inactive TPL if a person has MA or a MAHMO.

What is primary?

100

If a Medicare Advantage plan is NOT in the Revenue Cycle insurance database, load it this way.

What is MISC MED ADV MANAGED CARE?

100

The COB position for auto and worker's compensation liability insurance.

What is primary?

100
Used to identify Blues insurance plans (instead of the claims address.)

What is the plan code?

100

If a patient presents without a scheduled appointment for a lab or an x-ray, the registrar will create this.

What is a walk-in encounter?

200

The order/position of Medical Assistance/MAHMO for COB.

What is the insurance of last resort?

200

Medicare Advantage plans need to have this additional piece of information on the insurance tab.

What is the MBI number or, if not available, 99999?

200

Resource for finding the address of a WKC or AUTO insurance company not in Revenue Cycle insurance database.

What is the Insurance specific information page on the Infonet?

200

This is the subscriber for Capital Blue and Keystone Central HMO insurance plans.

What is SELF?

200

The Patient Tracking and Patient Arrival tabs are used for what.

What is checking in a scheduled visit?

300

Subscriber relationship for all MA/MAHMO plans.

What is SELF?

300

These two insurance cards must be scanned if a patient has Medicare Advantage.

What are the Medicare Advantage card and the traditional Medicare card?

300

The information in the Subscriber Member Number field for a WKC or AUTO encounter.

What is the claim number?

300

This is how a Blue Cross insurance from another state is loaded.

What is BLUE CROSS OUT OF STATE?

300

These are the two steps when using HDX.

What is Submit Eligibility and Eligibility Details?

400

Dual eligible patients have these two types of insurance.

What are Medicare/MCR ADV and MA/MAHMO?

400

This must be asked every time Medicare is loaded on an encounter and is a federal requirement.

What is the MSPQ?

400

Accident Type selection for any accident NOT due to an automobile or employment incident.

What is Accident/No Medical or Liability Coverage?

400

This website is available for you to check eligibility for Capital Blue Cross.

What is Availity?

400

If a patient does not wish to add pronouns to their record, enter this.

What is Patient Declined?

500

Three ways to qualify for Medical Assistance.

What is low income, disability, and chronic illness with high medical bills?

500

The patient has active Medicare and active Highmark Freedom Blue. This is the correct COB.

What is Highmark Freedom Blue only?

500

This information is in the Group Number Field on the insurance tab for AUTO and WKC encounters.

What is the accident date?

Bonus: What format should be used?

500

Blues insurance card with a plan code of 363 is loaded this way if it is not HIGHMARK COM BLUE.

What is HIGHMARK BCBS WESTERN?

500

This conversation is used to check in a Pack Patient.

What is ED Quick Registration?