Do
You use this system for denials such as incidental, mutually exclusive, billable times
What is ClaimsXten (CXT).
What is the system name you use to check if there is PTO time available?
What is ALVARIA?
What is the name of the system that prompts you to log off phones when time is available?
What is Intradiem?
What day of the week do you complete your timesheets?
What is EVERYDAY. :)
Where can you find commonly needed phone numbers in policy?
What is in epolicies phonebook.
Who are the Correspondence Supervisors for PCC?
Who are Melissa, Faustino, Deborah, Latanya, and Marjorie.
How many questions are in the provider post call survey?
What is 3?
What is the system that asks you to speak lower on your calls?
What is Cogito?
Which RUMBA system do your check code restrictions?
What ACAS.
What should you do if you have a power outage?
What is notify Supervisor immediately, provide a snip of power outage, and get a ticket number.
This is used to determine if a claim is a corrected or replacement claim
What is Corrected Claim Indicator (AKA the Bill Type Indicator).
What is the number to SPOC?
What is 888-905-9500?
What is the name of the system you use to review appeal status?
What is CATS?
What RUMBA system do you use to look up provider details?
What is EPDB?
What system would you use if the provider advised they sent in documents?
What is ECHS?
This occurs when two or more insurance plans work together to pay claims for the same person
What is Coordination of Benefits (COB)
What is the # to attendance line?
What is 855-253-5191.
What tool do you use to get an overturned appeal letter updated?
What is the name of the new phone system we will all be using soon?
What is Five9.
You use this system to review overpayment details.
What is OPT (overpayment system).
When a claim is internally pended, Internal Pend or Internal Pend With Error displays where
Where is in the Claim Status field?
What is the name of the Site where you find all the lifelines and Provider Initiatives?
What is Lifeline PCC Commercial.
What day of the week are you to leave your computer powered on while connected to VPN?
What is Thursday.
These help you figure out how payment on each claim line applies to the processed claim.
What are Rule Ids
You would not put yourself in this status on AVAYA/ Five9 if you needed to take an extra break.
What is ACW (aftercall).