Science
What colors are in the rainbow?
What are red, orange, yellow, green, blue, indigo and violet (ROYGBIV) (7)
This is the timely filing limit for prior authorizations.
What is 365 days?
The most popular day in the US to eat chicken wings
What is Superbowl Sunday?
If the contract is termed, but shouldn't be, what should you do?
What is: Follow the escalation guide for Edit 101.
This was Whitney Houston's first #1 hit on October 26, 1985.
What is "Saving All My Love For You"?
This is the most abundant element in the universe.
What is hydrogen?
What do you do if a provider wants to bill for the difference in the paid amount and the total amount of the claim?
What is advise the provider they cannot bill the difference. The only thing the patient should be billed for is liability?
Man first walked on the moon on this date.
July 20th, 1969. (will accept just the year)
What to do if a claim is denying for Benefit Visit Limit Exceeded
What is view the benefit limits to determine if there is a max visit. If there is a max visit, search the member's claim history to see how many times it has been used?
This classical song written by Nikolai Rimsky-Korsakov in 1899 is intended to musically evoke the seemingly chaotic and rapidly changing flying pattern of a bee.
What is "Flight of the Bumblebee"?
This is the heaviest internal organ in the human body.
What is the liver?
This is how you determine how many times code has been used on a member.
What is go to the members' claims and search the claim history with the CPT code?
Dr. Martin Luther King Jr's famous "I Have a Dream Speech" was delivered in this city on August 28, 1963.
What is Washington, DC?
How do you check the status of a 6653 form?
What is go to claims and then documents?
These musicians famously crossed Abbey Road in London for the cover of the same-named album.
Who are the Beatles?
This blood type is the rarest in humans.
What is AB negative?
A provider needs to add attachments to an existing claim, what needs to be done?
What is the Providers can add attachments to claims in an adjudicated, deny, open, pay, or pend status by searching the claim and clicking the attach hyperlink?
The eruption of Mount Vesuvius in 79 AD devastated these Roman cities.
What are Pompeii and Herculaneum? (Accept either one as a complete answer)
If we see a claim denying and it's an SNF (Skilled Nursing Facility) and they do not have R&B or LOA services on the claim and its after 1/22/2025. What Edit is this?
What is Edit 150
This is the only Country artist to have a Top 20 Hit on the Billboard Hot Country Songs chart for six straight decades.
Who is Dolly Parton?
DNA stands for this.
What is Deoxyribonucleic Acid?
A provider is asking for a claim to be appealed
What is There is no appeal process for FFS Claims?
The highest scoring NBA player of all time
LeBron James
What two things must be done for all configuration issues
What is refer the provider to the CPSE report and complete a Configuration Issue Escalation?
What are the original group members that made up Destiny's Child?
Who are Beyoncé Knowles, Kelly Rowland, LaTavia Roberson, and LeToya Luckett?