CCS Knowledge Check

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Across
  1. 7. A Team that handles much of the pricing for OON claims
  2. 10. Claims are reviewed for industry standard code denials
  3. 11. Out-of-Network claims are reviewed for negotiations, supplemental pricing, etc
  4. 13. The itemized bill is reviewed for bundled charges
  5. 15. A Team that manages provider disputes regarding Zelis claim edits
  6. 16. An intake team for OON & HBR disputes and balance billing issues
Down
  1. 1. Team responsible for directly settling OON claims with Providers
  2. 2. The full name for CSS
  3. 3. An intake team for editing disputes
  4. 4. The name of the business unit under which Client Services falls
  5. 5. A Team that manages provider disputes regarding OON and HBR priced claims
  6. 6. Team that reviews large hospital claims for clinical findings
  7. 8. Large hospital claims are reviewed for clinical findings
  8. 9. A Team that manages provider disputes regarding ERS pricing
  9. 12. The full name of CCS
  10. 14. OON Claims are priced with Zelis proprietary fee schedule