Authorization
authorization status of: Pending further development
Additional information needed or medical development is required before a determination can be made.
WHEN GIVEN THE SSN WE VERIFY WHA T?(DEEOIC)
CLAIMANT NAME/ DOB
UN/UD STANDS FOR?
UNDERDEVELOPT
DEEOIC: "EA" IS APPROVED OR CLOSE?
Approved - Eligible for medical Treatment.
WHAT STATUS DOES A BILL HAVE TO BE IN TO SUBMIT AN APPEAL
ANY
what authorization is ONLY available for DCMWC
Certificate of Medical Necessity (CM-893)
BLACK LUNG OR ENERGY REQUIRE TO ASK FOR DOI ?
NO
WHAT EXPLANATION DO WE PROVIDE FOR (DEEOIC) STATUS: X
If additional information is needed CLAIMANT should contact DO/CE
WHAT IS " CASE STATUS 2 " ON CLAIMANT INFORMATION
THE STATUS BEFORE THE CURRENT STATUS
WHAT IS AN ADJUSTMENT
CHANGE OR CORRECTION ON A BILL
WHO PROCESS A LEVEL 2 AUTHORIZATION
CNSI
CONTRACT NURSE CALLING. WHAT DO WE NEED TO ATHENTICATE?
EMPLOYEE NUMBER
who does claimant report the work injury to?
SUPERVISOR
do we advise the description for accepted conditions?
noooooooo
HOW MANY BILL INQUERIES CAN A PROVIDER GIVE FOR A (DEEOIC) PROGRAM.
BL/EN-10 (INCLUDING BILLING AGENTS)
can providers request a correction to Make changes to the existing line for PX code
they need to add a line if PX code change is needed.
(FECA) CLAIMANT MOTHER IS CALLING. DO WE NEED A "AREP" ?
NO AS LONG AS THEY CAN ATHENTICATE THE CLAIMANT INFORMATION
The claimant may appeal their decision by:
Hearing
oral
written
STEPS ON Finding case status ON ECAMS
Claimant Tab
Claimant search
Filter by: Case number
WHAT DOES "RV" MEAN
REMITTANCE VOUCHER
WHAT IS A RETRO AUTHORIZATION
BACK IN TIME
CASE EXAMINER CALLS GIVES NAME NO LAST NAME CAN WE PROCEED?
NO
do we handle monthly benefits?
NOOOOOOOO
WHAT IS THE CASE STATUS " C2"
SFC
WHA TYPE OF BILL FORMS CAN A CLAIMANT SUBMIT?
Claimant Medical Reimbursement (OWCP-915)
Medical Travel Refund Request (OWCP-957)