Claims 101

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Across
  1. 2. claim display screen (header)
  2. 3. tells why a person was seen by doctor
  3. 6. used to view advanced radiology pre-certs
  4. 7. number on the header that is only on ITS claims
  5. 10. tab used to see all diagnosis on a claim
  6. 11. tab used to locate how the overall claim processed
  7. 14. tab used to view all lines on the claim
  8. 17. name for billing provider
  9. 18. used to locate purged claims
  10. 19. Claims summary screen
  11. 20. used to view status code verbiage
Down
  1. 1. tab used to see how a individual line processed
  2. 4. tells what services were rendered
  3. 5. tab used to locate category code
  4. 6. name for provider who performed the service
  5. 8. request for payment submitted to health insurer
  6. 9. claim search screen
  7. 12. app used to communicate plan to plan
  8. 13. used to view pre-auth in Rumba
  9. 15. statement sent to member to explain how claims processed
  10. 16. screen used to see how much has been applied to a members deductible
  11. 19. AMMS main menu