Pareo
Mentor
Cispro/CIS
BONUS
100

The source code for End to End

El source code para End to End

What is AU?

Que es AU?

100

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?

100

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)

100

Como se llama la plataforma que su usa para verificar si un claim se puede trabajar? 

what is Power BI or EFR Query Doc

200

what other tabs are on the right hand side of pareo?

There are TWO

Cuales otros tabs estan en la mano derecha de pareo?

HAY DOS

Ejemplo: Data mining v

What is DRG and Clinical 

Ques DRG and Clinical 

200

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)? 

200

The process to erase a line from the claim details

El processo para borrar una linea de el claim details

What is select the line, press delete row

Que es seleccionar la linea, y darle a delete row

200

Edwins Title 

Claims Review Representative 4, or Team Lead/TL/PL

300

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 

300

El source, y el reason code de Query 136320

What is source code AU, Reason code 393

300

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

300

El numbero para HR4U y horario 


HR4U phone number, and hours of operation 


1-888-431-HR4U (4748)

Hours of operation 8:00am-6:00pm EST

 

400

the color of the Team assigned inventory, and where it is located

El color de el inventorio de el TEAM(eqipo), y adonde se puede encontrar

What is the color blue, on the right side of the pareo page, (labeled My inventory), 

Que es color Azul, en la mano derecha de la pagina de pareo (My inventory)

400

Cual es el suffix que se usar para ver si hay APN?

What is the suffix used for verifying if there is an APN?

What is HDR

400

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 

400

como se llama la plataforma que reemplazo a el MY LINKS? 

what platform replaced MY LINKS

What is MY APPS

500

El commentario para end to end 

The comment for end to end 

Postpay End to End Review no longer completed


NA

500

Que se nesecita para crear una linea de PMDI?

What is needed to create a PMDI line?

PMDI,GROUP #,CLASS,,,

500

Que dice la linea verde cuando abres a cispro

what does the green line at the top of cispro say?

Claim search Criteria


500
adonde se submite un ticket de problemas con los sistemas?


where do you submit a ticket for system issues? 

IT4U or call IT CSS number.