FSC
What is the character name of this IDX FSC : HBNJ
Horizon BCBS OF NJ
Which tab allows you to view Force Extraction Comment
T- Transaction Detail
You can utilize this guide to cross-reference what note types should be used by the AR Follow Up Team
Note Type Dictionary
Timely Filing Limits for BCBS initial claim submission is
365 days from the DOS as of 01/01/23 - 08/18/2025
For HBNJ plans If services are being offered in NJ, claims need to be submitted to?
Horizon, not Empire Blue Cross Out of State
What is ACA stand for
Against Coding Advice
This note type is for claim status
531 AR-Claim Status
Timely Filing limit for 2nd level appeal
60 Days from the Date of the 1st level appeal
What is the character name of this IDX FSC: HBNN
Horizon BCBS of New Jersey Non Par
To View the reason for your Edit you can view which document
Experian Edits- Force Extract List and Force Extraction Custom Edits
This note type is used when two Dx's are mutually exclusive
410 - AR USE-COD Mutually Exclusive DX
Pay code 8173 is used for
Untimely Insurance Billing
BOSP : What type of plan is this
Out of State plan, (patient was seen in NY)
When can you open a coding request on a Force Extracted cpt?
If the reason for the edit differs from the denial reason
How many note type are required when opening up a coding request ?
Two
Pay code 8131 is used for
Untimely CBO
Member ID can be identified by which three characters being in the 5ht, 6th, and 7th place
HZN
True or False - You can open a second coding request if your question was not address
False , a coding escalation is required
Pend Medical Record Submitted outcome should be used with which note type ?
533- Medical Record Sent
What FL is used for Bad Registration Appeals ?
FL 350