UHC-ID DIV's
UHC-ID's get loaded to what?
All billing and combo addresses
According to the Taxonomy grid, what is the Spec code for Sports Medicine?
296
What kind of addresses can be a primary?
Combo and PLSV
What are the two sections on the TaxID screen?
Master TaxID and TaxID details
What process do you use to add a panel?
AB Process
How do you determine if a TIN is PAR?
Follow S4151 How to determine if TIN is PAR section
When adding a Specialty, do you need to check if it needs to be credentialed?
Yes
What can you use to add an address to an existing provider?
MAID or Street address and Zip Code
What are 2 situations of a provider adding a new TAXID?
Double Points if you can name all 4
The provider is affiliated with a new group because the provider either joins a group or changes group affiliation.
A provider is billing with a TIN other than the one listed in NDB for that MPIN.
A solo practitioner decides to incorporate.
A medical group opened a new practice with a different specialty and new Tax ID.
What do you need to load a Panel?
Contract Master ID, Doc ID, TF
When do you Timeline a DIV?
When changing a bill/combo address to a new bill/combo address
What is the difference between timeline and change mode?
Timeline requires both effective/cancel dates and tracks the changes. Changes only get the cancel dates and doesn't track the changes.
What screen do you use when adding a new address to an existing record?
Func: A Cat: A Area: Z
What is the correct way to look up your provider in NDB?
Look up by BOTH the MPIN and TIN.
On the IEZ screen what product line populates when Panels are present?
Bonus 200 points: How many can there be?
RO line
Bonus: No more than 2
Does the U screen use the same cancel reason codes as the main NDB?
No, always use the cancel code job aid.
What do you use for the Effective date?
What is considered an address update?
When the provider bills a new PLSV, BILL, or COMBO on the claim image
When reactivating a TIN, what else needs to be reactivated?
BSAR relationships, UHC-ID DIV's and all addresses billed on the claim that are tied to that TIN.
How do you look up DIVS and Panels with out an MPIN?
Search the CMs on the IKZ Screen
When is a retrigger needed?
A PLSV address is being added to a BILL with existing UHCIDs, and the new PLSV is not the primary address, but an additional address.
When working with a APC what do you need to do, that you wouldn't do for a non APC provider
Put a comment on the ICZ screen.
(Bonus 200 points if you provide the template you need to put)
How do you know what Billing/Combo address a PLSV is linked to?
PLSV will be loaded under the Bill or Combo address and the BAID number on the address details screen will be the billing/combo address id.
When reactivating a TIN, do you reactivate Panels that were previously attached or mirror panels that are on other TaxIDs for the provider?
No
When adding panels to a PCP record what additional steps do you have to do?
Add the G Role and Network Number