Systems
MHC
EZ-Caps
QNXT
EXTRAS
100
ILLINOIS 2013 MEMBERS LOCATION
What is QNXT
100
FINALIZED STATUS
What is (P) PAID
100
RENAISSANCE PROFESSIONAL CLAIMS MAILING ADDRESS
What is PO BOX 2888, HOUSTON, TX
100
FIND MEMBERS NETWORK
What is PROVIDERS TAB
100
CURRENT PROCEDURAL TERMINOLOGY
What is CPT CODE
200
Z CODE DENIALS
What is IHEALTH
200
PROVIDER NEGATIVE BALANCE SCREEN
What is APVI
200
# FOR CLAIM THAT WAS DENIED IN EZ-CAPS
What is 9 (FINALIZED)
200
DEPARTMENT CALL-TRACKER IS ROUTED WHEN WE HAVE PAID THE WRONG PROVIDER
What is CLAIMS RECOVERY
200
DENTAL VENDOR FOR MEMBERS IN PLAN H4407-022 AND H2165-011
What is DELTA DENTAL
300
MAJOR RADIOLOGY/DIAGNOSTIC SERVICES AUTHORIZATION PORTAL
What is MEDSOLUTIONS
300
SCREEN FOR MEMBERS LEVEL OF MEDICAID
What is CARE SCREEN
300
DEPARTMENT TO OPEN CLAIMS DENIED "RES" BUT CANNOT BE LOCATED IN EZ-CAPS
What is OPEZC
300
AUTH# MSA13037311 ________ BE USED TO COVER THE DENIED SERVICES ON CLAIM# 11286E00271
What is CAN NOT (NO)
300
TRANSFER ONLY BRAVO HEALTH BEHAVIORAL HEALTH AUTH PHONE#
What is 877-376-7115
400
EXPLANATIONS OF PAYMENT/ BENEFITS
What is EMDEON ABF
400
SCREEN TO FIND PROVIDERS CERTIFICATION
What is CDI, 7, LOCATE PROVIDER, ID
400
COLOR OF BUTTON THAT SHOWS ADJUSTMENT CODE MEANING
What is BLUE
400
LINE 5 DENIAL FOR CLAIM# 11327E39647
What is DUPLICATE SERVICE
400
STANDARD PRIOR AUTHORIZATION TIME FOR DME
What is 14 BUSINESS DAYS
500
1-866-952-7596 ASSISTANCE PHONE# AND WHAT IT'S FOR
What is HSCONNECT/ ELIGIBILITY, BENEFITS, CLAIM STATUS FOR HS/BRAVO PROVIDERS
500
REASON CODE/ STATUS CODE/ DEPARTMENT CODE FOR A CHECK-TRACER
What is PCHG/ CL/ PNH
500
CHECK# FOR CLAIM 20120521920082501919
What is CHECK# 1264744
500
TWO PLACES THAT YOU MUST CHANGE TO ENSURE CLAIM IS BEING SENT BACK FOR REPROCESSING
What is ASSIGN TO/ CALL MANAGER
500
EXAMPLE GIVEN FOR "WASTE" WHEN IT CAME TO FRAUD, WASTE, AND ABUSE
What is BUYING AND BILLING