To search using S.S #, name /date of birth you would select this tab
What is Beneficiary Tab/Search
100
KDADS stands for
What is Kansas Dept for Aging and Disabilities
100
this plan only covers Labor and Delivery
What is SOBRA
100
Dr's, Clinics, H.B.C.S and DMe providers must bill using this form
What is CMS 1500 form
200
Payment inquiry, accounts receivable, cash reciepts and Icsis can all be found on this tab
What is Financial
200
HMS stands for
What is Health Management systems
200
Under this plan when Medicare makes a payment, we would consider the co-insurance and deductable
What is QMB
200
Hospitals, Nursing Facilities and Intermediate Care Facilities must use this form when submitting a claim
What is an UB-04
300
On the reference tab what two options do you chose to get to explanation of benefits denial reasons
What is Explanation of benefits and EOB codes
300
KFMC
What is Kansas Foundation of Medical Care
300
This plan covers services ONLY if you are very ill or have an emergency
What is Medikan
300
You have 12/months to file claim and another 12/months to have claim corrected.
What is Timely Filing Guidelines
400
what does MMIS stand for
What is Medicaid Management Information Program
400
This plan is for beneficiaries who do not qualify for Medicaid because their income is higher than the limit and requires beneficiary to pay some of the bills before Medicaid will pay for medical services.
What is Medically Needy or Spenddown
400
The number a provider must have on file to be able to bill for lab services.
What is CLIA
500
Adjustments(rescan), call center written correspondence paper claims can all be viewed in this system
What is Content Manager
500
Providers have 30 days from any negative action and 33 days by mail to do this.