Blue 2 & SIRF
In Blue2, if the __ is two years or older, a SIRF request must be sent
What is the RF?
When one is found legally responsible for a car accident, ________ pays for the costs associated with the injuries to the other person or people involved
What is bodily injury?
The general time frame for timely filing
What is 120 days?
At the end of our Insinq documentation
These are the TPL ROI codes we can remove
What is E, F, G & T?
This will either say paid or rejected
What is the Adjudication Status Indicator?
If a subro call is urgent, this is sent along with the Insinq piece
What is the subrogation email template?
The correct ICD Version for claims 2016 and older
What is ICD Version 9?
The name and extension for the language line (need both)
What is Martti at extension 50019?
The destination for transfers when a provider is asking about a claim denied L5018
What is provider services?
This will either say Payment to Provider or Payment to Subscriber
What is the Payment Disposition Code?
Is the printer selection for saving correspondence off of Highview
What is CutePDF Writer?
This report is generated when FED Direct and OPIS aren't updated correctly (Full name, not the acronym)
What is the claims auditing monitoring tool?
The two tabs in the SF on Blue2 we check on ITS claims
What is Member and Provider & OPL ?
The description for rejection code S5238
What is Void Due to SF2?
This is the name of the section in our SIRF request that we always chose N
What is the Adjustment SF Indicator?
This is what is chosen in as the Source in Case Manager for closing a post payment letter
What is 16 - PPL?
When a claim is $5+, we don't use ISO when _________
What is other insurance information on file?
This is the code we use when editing an duplicate OPIS
What is T1490?
In this group, the primary coverage is determined by accident
What is Non-Erisa?
Seeing this in the SF Message Code means a SIRF request must be sent
What is U956?
In this situation we would find the next available Intervention Analyst and transfer the call to them for further handling
What happens if the Intervention Analyst is out of the office (PTO)and the backup is ALSO out?
These are the non-subro reps who can take employee calls (excluding techs & leaderships, must name them all)
Who is Adam Griem, Steve George, Maya Park, Jodi Kaufman, Kate Naumann & Nate Vang?
4-Digit numbers we search in Highview to see line level information (must provide both)
What is 2320 & 2430?
On OCWA, in Group, the Erisa Indicator is found under this heading
What is the Verified Group Key?