HCSC

1. Work in Progress
3. Graphical User Interface- uses windows icons and menus and can be manipulated by a mouse
8. Folder Note- special processing instructions – found in ECM
9. Financial Suspense System
10. Contract provision in a health care plan that is applied when a patient is covered by 2 or more group health insurance plans
11. System used for EOB’s for all claim types
13. Care Service Corporation, consists of five states IL, MT, NM, TX, OK
15. placing a match on hold for later review
16. Real Time Benefits
17. service request- found in dashboard

2. term for claims that are performed in a different state than the policy is from
4. System used specifically to check for EOB’s for ITS claims
5. to remove a match from WIP
6. Consolidated Omnibus Budget Reconciliation Act
7. Refund Credit
10. Consumer Driven Health Plan, amount paid by a member’s FSA/HSA/HRA
11. Previously Identified
12. Waiting area for claims, also known as an edit
14. to send a claim over for approval and receive credit for overpayment
16. Used to look up and review Medicare records instead of calling Medicare