MA/MAHMO
What is primary?
Medicare Part B pays for these types of services.
What is outpatient/clinic?
If a Medicare Advantage plan is NOT in the Revenue Cycle insurance database, load it this way.
What is MISC MED ADV MANAGED CARE?
The COB position for auto and worker's compensation liability insurance.
What is primary?
What is the plan code?
The order/position of Medical Assistance/MAHMO for COB.
What is the insurance of last resort?
This type of insurance pays the 20% coinsurance for Medicare Part B (and always loaded as secondary to Medicare.)
What is a Medicare Supplement?
Medicare Advantage plans need to have this additional piece of information on the encounter.
What is the MBI number?
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?
This is the subscriber for Capital Blue and Keystone Central HMO insurance plans.
What is SELF?
Subscriber relationship for all MA/MAHMO plans.
What is SELF?
This must be asked every time Medicare is loaded on an encounter and is a federal requirement.
What is the MSPQ?
These two insurance cards must be scanned if a patient has Medicare Advantage.
What are the Medicare Advantage card and the traditional Medicare card?
The information in the Subscriber Member Number field for a WKC or AUTO encounter.
What is the claim number?
This is how a Blue Cross insurance from another state is loaded.
What is BLUE CROSS OUT OF STATE?
Dual eligible patients have these two types of insurance.
What are Medicare/MCR ADV and MA/MAHMO?
Staff should know how to check Medicare eligibility on these two websites.
What is Inovolan and Novitasphere??
The website to check eligibility for Amerihealth Caritas VIP Medicare Advantage?
What is Navinet?
Accident Type selection for any accident NOT due to an automobile or employment incident.
What is Accident/No Medical or Liability Coverage?
This website is available for you to check eligibility for Capital Blue Cross.
What is Availity?
Three ways to qualify for Medical Assistance.
What is low income, disability, and chronic illness with high medical bills?
The three ways to qualify for Medicare coverage.
What are age, disability and ESRD?
The patient has active Medicare and active Highmark Freedom Blue. This is the correct COB.
What is Highmark Freedom Blue only?
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?
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?