Across
- 4. The screen that finalizes the processing of a claim
- 5. An eleven digit number assigned to all claims before they can be processed
- 7. Used to pend all claims for a particular individual
- 8. Front end/data system use by claim processors
- 10. Indicates the network with which the provider is contracted
- 11. A code that identifies and describes a benefit
- 13. Policy Master used to pend or deny charges
- 14. Alters the way a benefit pays per service line
- 17. Indicates errors made by the processor
- 19. This contains a detailed overview of a group's dental benefits
Down
- 1. The support team that handles grievance issues
- 2. Indicates a charge or service that is not eligible for payment
- 3. Claims are held by the system for a specific reason
- 6. Application used to document phone calls
- 9. The system does not auto-adjudicate, the CFR will process these claims
- 12. Only eight lines of data can be entered at a time
- 15. Claim processing system that assists in prompt and accurate claim processing
- 16. Support team that administers usual and customary issues
- 18. When this occurs, stop processing claims and report the problem