Random STL

Random 1

100

What do you tell the provider if the claim is in a status 3?

In Process

200

What is the paid amount for claim ID 23030903920125000070?

$129.56

300

What is the Document Locator # (Plexis) and the Cross Reference ID(EZCap) used for?

Looking up the claim image in SDS

400

What is the Document Locator # for claim ID UB121622esa0004 in ACS?

UE22350014072

500

When was the W9 for TIN 010752765 received?

3/14/2023

Random 2

100

What is our claims mailing address?

PO Box 21631 Eagan, MN 55121-0631

200

What is the payment method for all Plexis claims/clients?

Paper check

300

How long do we have to wait until we can request a check tracer?

30 days from the issue date

400

If we find a claim in SDS but it's not in the claim system or on the rejection log, what would we do?

Send a JIRA ticket to Heather using the "Not in processing template"

500

What does the processing status note on 1/26/2023 say for claim ID 23011303920125000145?

Claim now hitting FS

Random 3

100

What is the "typical" time frame for claims processing?

30 days from the receive date

200

Albright Care Services PACE - What is the denial reason for 92015 on claim ID 10062022esa0024?

Payment contract does not cover this service

300

What is the cross reference ID for claim 23011303920125000145?

HE230130111867

400

Albright Care Services PACE - What is the address that the check was mailed to for claim ID 01032023esa0036?

3500 Main St. 15120 Munhall, PA 15120

500

What is the patient account number on DCN HE230680091215?

5727549122

Random 4

100

What is the lucky number that has to be submitted for a claim to be billed as a corrected claim?

7

200

Is the provider INN or OON for claim ID 23011303920125000145?

INN

300

What would be the timely filing for original claims for client PCM?

INN - 90 days and OON 1 year

400

What is the payment system used for claim# 23030903920125000070?

Payspan

500

What is the name of the provider listed on the W9 for TIN 010636430?

Stephen L McCall or McCall Transportation LLC

Random 5

100

What is our fax number?

314-961-3456

200

If a claim is still in process/pending and it's been over 30 days, what would we do?

Offer to escalate the claim for review

300

A provider's calling in saying that they don't agree with why a claim rejected, what would you do?

Send an escalation to Heather and use the Rejection Review Template

400

What are the three things you must do on an email that you are sending to a provider (external)?

Change the From to [e-mail]

Add !encrypt! to the subject

Change your signature to fit what the email is about 

500

Was the payment electronic or via check for claim ID 23011303920125000145 in EZCap?

Electronic