What in the Remark Code is going on?
UG- DSNET- Network/PPO Discount- The Plan Discount Shown is your savings for using a network provider. You have not met your deductible and owe the amount show.
The claim is processing per the members plans benefits and they have not met their deductibles yet so they are financial responsible for this service.
Provides dental coverage for FedEx employees and their families.
Cigna
The long name for place of service code AS.
Ambulatory Surgical-Center
Member calls asking about questions with 2nd MD
Transfer- Educate with resources and then connect to rep
This amount of money can be credited to the members HRA/ HSA if they enroll on My Choose Well
$100
7Y - MULTIPLE ITEMS HAVE BEEN REQUESTED
63 - REQUEST FOR CLINICAL RECORDS, PROGRESS NOTES, AND TEST RESULTS
Treatment records have been requested and need to be sent in for review for the claim to be reprocessed.
FedEx offers a vision plan to all employees regardless of medical coverage. Who is the administrator.
Davis Vision
Claim status that is the final stage of processing
Vision claims
Transfer
This program is for Fedex Employees with questions regarding Wegovy, Saxenda, or general weight loss.
Calibrate
True or False: Remark code is I4 for bundling means the provider is responsible for the non covered amounts.
True
Vendor for Pet Insurance
Nationwide
This tab in ISET is where you can find the cause code and diagnosis code information
Summary tab
Member calling in to see how many visits of physical therapy they used.
Handle.
You would submit to this system/website for an LOA reinstatement review.
BC4
7Y - MULTIPLE ITEMS HAVE BEEN REQUESTED
FT - FRAUD/SECURITY - TREATMENT RECORDS HAVE BEEN REQUESTED FROM THE PROVIDER. SEND RECORDS TO PO BOX 740805, ATLANTA GA, 30374. FOR FURTHER QUESTIONS PLEASE REFER TO OPTUM AT THE TELEPHONE NUMBER ON THEIR MEDICAL RECORD REQUEST LETTER.
treatment records- reminder to please not mention fraud waste and abuse
Vendor for COBRA
Willis Tower Watson
Claim status that is used when additional information is needed, IE treatment records, COB updates, Primary EOBS, etc
Closed Status
Cause Code- PYSCHIATRIC
Transfer.
Name of the vendor who offers home, auto, condo and renters insurance
Travelers
I4 - PRSA - ICES - BUNDLER - THIS SERVICE OR SUPPLY IS DENIED. IT IS CONSIDERED PART OF ANOTHER SERVICE PERFORMED ON THE SAME DAY, OR IT IS NOT ALLOWED AS A SEPARATE CHARGE.
Proc 99204 unbundles to HxProc 99217, (OBSERVATION CARE DISCHARGE MANAGEMENT) on Claim ID-Ext/Int Line ID DL16722573999
Vendor for Legal, Accident, and Critical Illness
Metlife
This box on the claim form contains the "guts" of the claim IE CPT codes, place of service, units, modifiers, etc.
box 24
Member calls in asking to see if her check was cashed or not?
This is the name of the website where Fedex Employees can view their pay checks online.