Remark Codes
Exceptions
FINAL BONUS
Aldera
Random Queues
100
what is the denial code used for the corrected claim received past the timely filing limit?
RMAP
100
True or False - An ER inpatient visit is an exception for an authorization
False
100
Maintenance - Q,R,S,T - Remark Code
What is where to look up a remark code?
100
This is the tool you use when working the Proc Code or D100 workflow queue
What is Find-a-Code
200
Medicare is the primary insurance. There is no EOB & CPT code cannot be found in the exception list. Which remark will you use to deny the claim?
MCOB
200
For THRP, BH frequency & Extended frequency limit, when is the 1st dos counted from for the 2019 year and other for the frequency limit claim? (yearly count)
9/1/2019 to 12/31/2019
3/1/2019 to 12/31/2019
200
The area you look on a CMS-1500 to verify if it is a corrected claim
What is the FREQ
200
If your duplicate claim number is not showing in claim notes it can be found here
What is the Modify Screen
300
What is the remark code added to indicate a scanning error
IPNS
300
Patients are allowed 24 visits with this type of provider without an authorization
What is a Chiropractor?
300
Josef encountered one of these at his first job 
What is a call girl
300
Modifiers are under this tab
What is Clinical?
300
An attending physician is required on this type of claim form
What is a UB
400
In SQL which remark code is used for exact dup claim and sending freq 1 claim over payment?
CCLM & CCOP
400
This many ultrasounds are allowed per pregnancy without an authorization
What is TWO
400
A system generated image of the claim information in Aldera on a claim form
What is Rendered Form?
400
This is the tab you click to verify the members PCP
What is PCP History?
500
What are the additional remark codes used in ELIG queue to deny the claim? Explain as well
14, 140, GAP, MEM, DB
500
Providers can bill for up to 48 hours of this without an authorization
What is Observation
500
The number of times Tosha spilled her coffee
What is Three
500
You must change Narrative to "No" and Enter a date in this box....
What is Processor Comment
500
This is your BFF
What is Resubmit?