A contract between an insurance company and a self funded MCO where the insurance company performs administrative services only.
What is Administrative Services Only (ASO)
100
Name and Address File
What is NADR
100
SSID#
What is Subscriber Summary - General
100
Status of the claim
What is Pending
100
NIC
What is National Implementation Center
200
Explanation of Medicare Benefits
What is EOMB
200
EM123456789
What is EM + subscriber's ID number
200
SXID#
What is Subscriber Summary - Diagnosis
200
'ssref' or 'slref'
What is return to the claim summary SS or SL screens at the command prompt
200
COB
What is Coordination of Benefits
300
National Account Services Company
What is NASCO
300
Segment, which contains information regarding member’s telephone number, HIPAA/ROI information, Medicare, etc.
What is Comments (COM)
300
SGID#
What is Subscriber Summary - Group Number
300
Claim segment ML
MN2745078390000,2611050370400,630,ML,0010
What is multiple line segment
300
CSW
What is Customer Service Worksheet
400
Out of Network
What is OON
400
Where to find list of transaction codes for TXN Segment
What is Basic Values
400
SCID#
What is Subscriber Summary - Check Number
400
Claim segment OI
What is Other Insurance
400
1 - Subscriber
2 - Spouse
3 - Dependent
What are relationship codes
500
A consumer-driven health plan that provides the opportunity for associates to manage health care expenses in partnership with their employer.
What is Health Reimbursement Account (HRA)
500
nmLLLLL,F,SSSS,CCCC,GGGGGGGG
What is What is Name, Subscriber last Name, First Initial, First 4 characters of street address, First 4 characters of city, Subscriber's 9 digit group number