Indiana
Indiana PathWays for Aging Overview CCC Provider
What document do you need to use if you needed to resend and EOR to a provider
CRM Send a Duplicate EOR
This screen:
PDI Physician
what do you use the L modifier for
MEMBER RESP
Looking at the Verification of Benefits Overview CCC Provider document how many documents are under Call procedures
2
What is the service area for this plan
Entire State
Search for Claims
Identify the Claim Status
Pended Claims
Corrected Claims
Escalation
This screen:
RFI
If a claim denied for LCD/NCD what modifier do I use
LCD
on Authorization and Referral Requirements CCC Provider if the provider needs eligibility what document would we follow for that
Member Eligibility CCC Provider
If a member only had MCD what is the name of the benefit grid I would open
IN PathWays for Aging Comprehensive Benefit Grid
Source of Truth Overview CCC Provider
This screen:
CSI
I want to see how a claim paid what are the 2 modifers
K or ACH
You are going to do a eligibility search in CI what document are you going to follow
CI Member Search CCC Provider
What is the plan name for the Integrated plan
Humana PathWays Dual Care
What document are you using to see if the member has other insurance
Other Insurance Overview CCC Provider
This screen:
CWI
What is the modifier that would display the timely filing period (in days) associated with the contract file .....
TMLY
On Escalation procedure CCC Provider document, what do you do if the provider requests to have an issue escalated
follow the yes path
What is the cause code for LTSS claims
LTSS
What issues does the Availity Help desk assist the provider with? Name at least 4
This Screen:
IPI
What modifier would I use to see the difference in the charged amount and the amount allowed
UCR
According to Correspondence, Grievance, and Appeal Research CCC Provider document what is the name of the link we click on if we are searching for correspondence from the provider
Medical Provider Correspondence Disputes