This portal is used when attachments are to be sent with a claim to the insurance...
What is the Rebill Attachment Site Portal?
This is the official name of the UB04 claim.
What is CMS-1450?
These statuses are used when completing work in any of the Shared Services portals...
What are "Mailed" and "Pending Audit"?
In the Mail Request portal, all items are sent certified, except this...
What is Itemized Statements mailed to the patient?
Use this category and comment code after printing items that are ready to be mailed from the BSO.
What is Shared Services and Pending Audit?
This portal is used when mailing billing records to attorney offices...
What is the Financial Documents Portal?
On the UB04, these dates may appear different from the Patcom main page if we are billing by cycle?
What are the dates of service?
This status is used when the claim is being requested to be faxed to the insurance company.
What is "Fax/Email"?
In this portal, all items will be always be sent certified.
What is the appeals portal?
This category is used in OHPAC when the required attachment to be mailed with a commercial claim is missing in the RBA portal.
What is FollowUp and AR Escalation?
This portal houses all links needed to preform Shared Services functions...
What is the Shared Services portal?
These UB04s should have a signature on the bottom before mailing.
What are the California Medicaid claims?
This required information was missing from the mail request portal, so we updated the status to "Rejected".
What is an address?
Attorney requests for billing records are never sent certified out of this portal
What is Financial Document Review portal?
Use this category and comment code when the appeal has been printed and is ready to be mailed from the BSO.
What is Appeals and Appeal Submit?
Shared Services makes sure that ALL documents, except I/S are mailed "certified" from this portal...
What is the Mail Request portal?
In OHPAC, you will pull a UB04 by going into this action...
A record request from the attorney has an affidavit that needs to be notarized, so you update to this status.
What is Notary Needed?
In the appeals portal, you add the certified tracking# in this place...
What is the certified tracking# box?
Attorney documents are compiled and there is an affidavit that needs to be notarized. You add your coded comment in OHPAC using this category and comment code.
What is Shared Services and Notary Needed?
A DCN# is also known as...
What is Document Control # or Claim #?
You review an appeal before printing and realize the medical records are listed on the cover letter, but they are not attached, so you update to this status.
What is Back Up Needed?
In the RBA, these claims must always be sent certified.
What is Texas Medicaid, claims with Medical Records, and appeals/CIF forms with CA MCD claims?
To add your comment to the correct place, you always select these 2 things from the main page.
What is Billing Period and Responsible Party.