This is the UnitedHealthcare mission
Help people live healthier lives and help make the health system work better for everyone
The services you get as part of your routine well exam
Preventive Care
This is added to explain how the claim processed and shows on the EOB
Remark code
Recon code
On this screen you can see the members claim history
AHI
This program is about giving back to the communities where we live and work
United for Giving
Tests sometimes done at an Independent freestanding facility to check health issues like Cholesterol levels, Diabetes markers, Iron levels
Laboratory
This can be performed only on the same date a claim is processed but not on closed claims
Same Day void
74 Void
To view an authorization you would go to this screen
ARI
A treatment program that focuses on parts of the body that have been injured and is designed to return a person to normal activities.
Hint: some plans have a limited number of visits individually or combined
Rehabilitation Services
Physical, Occupational, Speech Therapy, etc
When you are adjusting an overpaid claim you need to create these 2 things
R-OV line
Overpayment letter
What screen is used to locate a member record with only an SSN or Policy number, and last name
EPI
This screen includes the following information
CEI
There are four UnitedHealthcare Businesses listed, name two of them.
Community & State
Employer & Individual
Medicare & Retirement
UnitedHealthcare Global
If you want to see if a member has Other Insurance, if it is primary or secondary you would view this screen titled COB/MEDICARE ELIGIBILITY
OII