Show:
Member Inquiry
Provider Inquiry
Claims
EEC
Commands
100
The command that allows you to search for a member by name
What is the NM command
100
this screen is used to see if the provider is par with managed care
What is the pf command
100
This letter is used to select a claim to view
What is the letter M
100
the application used to view pending claims
What is HEHK
100
ssID#,dtxxxxxx-xxxxxx
What is the command to pull up a members claims by date of service
200
This screen provides you with basic member information, Name, Address, Dependents, and age of members on the policy.
What information is found on the NN screen?
200
this command is used to find a provider using his name
What is PNLN
200
indirect commands that are used to view more detailed claim information
What are parameters?
200
this must be changed to process a claim in real time
What is the letter Y
200
This command is used to view auths, referrals, and pre-d's
What is AF
300
HROK
What application is used to update a COB file
300
what plan code is used to view providers in NJ
What is 780
300
how to tell if the providers address is the same/different than the billing address
What is NAPS
300
this date is required when adjusting a claim
What is the prompt pay date
300
This command is used to pull up claims showing DX.
What is SX
400
This screen provides information in 3 sections
What is the PE screen
400
the number that will tell us if the provider has any group affiliations
What is the currfed number
400
PCP#, BE#, and Tier information is found in this claim parameter
What is the HM parameter
400
the function key pulls the desklevel we are to follow to finalize the claim
What is shift F1
400
this command is used to help determine who pay the claims as primary
What is COID,com
500
EMID,COV
What command will you use to view the comment 23 file
500
this letter tells use if the facility is par with Horizon
What is the letter Z
500
This parameter hold other insurance and medicare information
What is the OI parameter
500
this is the function key used to submit a claim
What is F4
500
this is used to pull up a finalized claim
What is IH