Passport
The Cerner conversations that trigger Passport
What is OneReg TOS and PFN Conversations?
The first thing to look for on a UHC card.
What is the Payer ID or EDI number?
There are this many Medicaid Plans
What is three?
Traditional
Hoosier Care Connect
Hoosier Healthwise
It is who's responsibility to monitor Passport Alerts.
Who is the Registrar?
Military insurance is divided into this many programs.
What is two?
Tricare
ChampVA
The key things to identify on Passport responses
What is; Eligibility Subscriber name, policy and group number, plan type, copay/deductible, and alerts?
There are this many types of UHC 87726 Plans in Cerner
What is 3
Medicaid Qualifications include this.
What are aged, disabled, children, low income individuals, and pregnant women?
You have this many hours to work your alerts.
What is 72 hours?
Who is Active Duty Uniformed Service and Retired Military members or spouses and children of active duty, retired and deceased members?
Other functions of Passport ECare
What is Address Verification, Medical Necessity, Cost Estimates, and Collections?
What is the bottom right corner?
There are this many HIP plans.
What is 5?
HIP Plus, HIP Basic, HIP State Basic/ Plus, HIP Maternity, and HIP Emergency Services.
This type of alert will cause denials.
What are red alerts?
Tricare/ChampVA Supplements must NOT be loaded when this is true.
What is when patient is enrolled in Medicare?
Two ways of viewing Passport responses
What is My Response (short version) or Full Web (long version)
This is an important piece to choosing the correct UHC plan.
CoreMMIS identifies this information.
What is patient name, coverage type, Medicaid PCP, MCO/MCE, and other INS payers?
This alert will effect your RQA
What is a red alert?
If a veteran is eligible for Tricare, they are NOT eligible for this plan.
What is ChampVA?
The place you can verify insurance when Passport is unresponsive or delayed.
What is Passport Stand Alone or OneSource?
GEHA is loaded under this payer ID and Insurance.
What is 39026 GEHA UHC Shared Services?
Medicaid MRT Only is considered this type of plan.
What is Self Pay?
True or False Statement.
You always want to postback all information from Passport.
There are instances where you will need to verify/remove a Postback field.
TriWest Health Alliance is loaded as this.
What is VA Hosptial --> VA Other, loaded as Template?