Medicare and Things
This is a Managed Medicare
What is Medicare Advantage
This is today's date
February 18, 2025
You locate information on this
What is the KB
Another word for Clearinghouse ID when searching for insurance
What is the Payor ID
What do you look for if insurance is not processing
Accession Errors, Denial Codes
This is where you can check and see if insurance as previously been billed
What is the eligibility history / what is eligibility transactions
This Holiday just passed
What is President's Day
You locate insurance information on the KB under this
What is Insurance Guidelines
You add information such as address and payor id with this around it
What are astericks
You check this to see if insurance was billed
What is the eligibility tab
This is the age you first qualify for Medicare
What is 65
What National Observance Day is it
What is National Drink Wine Day
Each lab has this individual prefix for one reason
What is outbound calls
You add insurance under this tab in rpm
What is Insurance Info tab
You go to this location to choose the payor you want to bill when manually submitting insurance
What is Billable Procedure Code Detail section
Reasons Medicare would deny
Incomplete name/ ID hyphen missing, suffix missing like Jr II, the letter O mistaken for a 0 , name not exactly the same on the card
This is where Valor Headquarters located
What is Phoenix
You use this to search on the KB
What is Control F
This is another word for Subscriber ID
Member ID
This is the accession status that shows it has been billed to insurance
FnlRptd which is Final Report
When patient has a Managed Medicare advantage plan we typically do not bill this
What is straight/regular Medicare
Your new TM's name is pronounced like this
A-ny-da
The KB says this about DNU payors
What is DO NOT USE! We should never pick these payors as they are inactive and a claim will not go out.
This is the correct order to search for insurance
1. PO Box 2. Payor ID 3.zipcode 4.Name of insurance in astericks 5. Phone number in astericks
You check this box when checking for eligibility errors
What is the check eligibility tab