Pareo
The reason code for End to End
El reason code para End to End
What is 18?
Que es 18?
The tool used when you see a Query/Rule is not loaded on to Mentor
La herramienta que se usa si vez que un query/rule no esta en mentor
What is EFR Query Doc?
Que es EFR Query Doc?
The title primarily used in the LOB drop down
El titulo usado generalmente en el drop down de LOB
sample claim: 820251280240746
Other Medicare, (or medicaid if medicaid claim)
Jessicas Title
what is Supervior, Claims review
El titulo de la seccion de pareo que te dice cual CLIENT vas usar para tu claim
The title of the section of pareo that tells you which CLIENT option your claim will be in.
What is claim identifier?
Que es Claim Identifier
Step 2 of Query 136320
Paso 2 de query 136320
What is any code classified with Ind. 4 under the MULT PROC column when searching the RVU PFS Relative Value Files based on the date of service (DOS)?
The process to erase a line from the claim details
El processo para borrar una linea de el claim details
Que es seleccionar la linea, y darle a delete row
Edwins Title
Claims Review Representative 4, or Team Lead/TL/PL
there is a related audit labeled Datamining, DM review on pareo, the step that follows...
Cuando hay un related audit que tiene Datamining, DM Review, el paso que sigue...
What is assign the related audit to yourself
que es asignarte el related audit
El source, y el reason code de Query 136320
What is source code AU, Reason code 393
The document used to clear an edit/pend
El documento que se usar para clarar un edit/pend
What is PPS edit and error codes messages
Daily Greeting in teams chat
Buenos Dias, Good Morning
the color of the manual assigned inventory, and where it is located
El color de el inventorio asignado manualmente, y adonde se puede encontrar
What is the color green, on the right side of the pareo page, (labeled My inventory),
Que es color verde, en la mano derecha de la pagina de pareo (My inventory)
The PDI screen is primarily used for this reason
El screen de PDI se usa principalmente para esto
Review provider details
Revisar informacion de el Provider
the title of the line in cispro that shows you how much was allowed after repricing a claim
El titulo de la linea en cispro que te dice cuanto es allowed despues de un reprice de tu claim
(before MR/SEQ is applied)
What is CIS TOTAL
Platform used to submit payroll
Plataforma que se usar para sommeter nomina
What is Workday
The name of the option to send a claim to Edwin/Jessica for review
El nombre de la opcion para mandar un claim a Edwin o Jessica para que lo revisen
What is DM SME (option Torres SME)
The numbers included to be GLOBAL RATES
Los numberos incluidos para ser GLOBAL RATES
Global rate Professional rate Technical Rate
3 1 MOD TC
4 2
A 8
B I
G R
7 MOD 26
0
You replace the last 4 digits of the Claim Id with this
reemplace los ultimos 4 digito del claim ID con esto
What is your initals/you user ID letters
Name of this meeting
Team Torres monthly Cooldown