Facility Champs

Edit Answers
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Across
  1. 4. What is the name of the subrogation company that we use? Clue : Subrogation
  2. 5. What would you type in the override field to source a defer to FEP Direct?   Clue : model4
  3. 7. What would be the claim defer for the validity edit for admitting diagnosis? Clue :TOB
  4. 8. True or false: Claims will not defer CN8 if submitted with Medicare Payment Disposition A. Use the steps that follow to resolve the CN8 deferral. Clue :fake
  5. 10. What would you look for in a providers file in streamline for Facility claim will have a pend like PEND MCAID on it? Clue : Medicaid
  6. 11. The _________ is an online tool which contains current information on both Prescription and OTC drugs. Clue:book
  7. 12. True or false: OD value code means Other Insurance Allowed Amount? Clue : COBFacility
  8. 14. Would you use BFOG or IA83 in the override field for a Facility Workma’s’ comp case that FEP paid primary on? Clue : Workerscomp
Down
  1. 1. When the associate who placed claims in Edit Save is unavailable the claims can be opened by using which function? Clue: lines
  2. 2. When you click the plan Sup box to determine the amounts then click submit what pops up?   Clue: inpatient
  3. 3. True or false: Every Medicare provider in streamline has been loaded in the streamline table Clue : Medicaid
  4. 6. In route reason you put SUBRA who do you pend to? Clue : subrogation
  5. 9. What goes in the ATYP field? Clue : entry
  6. 10. Type F in what field to remove Medicare or other insurance payment information? Clue : workers comp
  7. 13. If the 14th position of the claim number following the Dakota claim number format is a S what would it be? Clue : format
  8. 14. What do you put in the override field if FEP is tertiary? Clue : cob