Addresses
Mailing, Residential and Temporary
What are the three types of addresses
Medicare B, Medicare A, Tricare for Life
What is Medicare A, Medicare B and Tricare for Life
Where the claim number should be entered on the Insurance tab for an Automobile Accident.
What is the policy number field
At time of scheduling, this would require an ICD 10 code, a CPT Code, documentation of a $75. downpayment, and a note in maintain comments
What is if any of the boxes are checked. Patient has no Insurance, Make this Encounter Self Pay, or Additional Health plans Expected
This payer ALWAYS requires checking the coverage tab
MaineCare
This question should be asked of a patient that indicates to us that they are homeless.
What is "Is there an address where you accept Mail?"
The patient is covered by their spouses Harvard Pilgrim and also Aetna through their own employer.
Aetna
Harvard Pilgrim
The correct COB for a Workers Comp Enounter-MaineCare, Memic
Memic- Worker Comp Payer is always allocated alone
The Correct way to word the question when verifying a patient's PCP
Where do you go for your Primary Care?
A way to determine in the Real Time Response if the correct person is listed as the subscriber
What is Subscriber Tab is greyed out
We would fill in this field after the street or road name if the patient lives in a town or city that shares a zip code that is not the primary city or town.
What is the name of the town or city
AARP (Medigap/Supplemental), Medicare B, Mainecare, Medicare A
Medicare A
Medicare B
AARP (Medigap/ Supplemental)
Mainecare
The correct Auto Liability Policy that should be allocated to a person who was not at fault. The patient's policy, or the at fault driver's policy
What is the patient's policy
Besides the primary home phone number we should also have this phone number on file
What is the Cell Phone Number
A way to determine if a patient has a Medicare Advantage plan even though there is only Traditional A and B policies created
The Real Time Response for Traditional Medicare will note if the patient is locked into an Advantage Plan.
This type of address allows us to invite the patient to join the portal, receive Good Faith Estimates and participate in surveys
What is an email address
The COB if the encounter is auto accident related. Medicare A, Medicare B, Mainecare, Geico, Blue Cross Medicare Advantage
What is Geico, Blue Cross and Mainecare
This box must always be checked if the encounter is Accident Related
The Accident-Related Box
What payer can only allocated if the patient is an Inpatient and has a Medicare Advantage Plan
Medicare IME
If the real time response lists a plan as inactive this button should be clicked and a from date of yesterday should be added.
The "ADD" button in the Coverage Period Section
The way we should ask for a patient's mailing address
If we should need to mail you information about your visit, what is your mailing address?
Blue Cross Supplement, Medicare B, Medicare A and Railroad
What is A, Railroad and BC Supplement
This should be used as the policy number for a Workers Compensation claim
Social Security Number or Date of Birth
At check in this tool can be used to determine COB if the patient has Traditional Medicare
MSPQ
When reviewing the need to initiate an eligibility request, this indicates that the policy should be submitted to HDX
What is a Check-Mark