Across
- 1. CMS Form Telephone Notification
- 2. BCBS Only: BCBS RTE is incorrect
- 3. Patient Verified with No Medicare
- 5. Coverages Reviewed, Coverages are Correct
- 6. Insurance Coverage Verified by Website
- 7. Tricare IM Form Signature Attempt
- 8. Consent Form Signature Attempt
- 9. Medicare IM Form Signature Attempt
Down
- 1. Medicaid Only: Medicaid RTE is incorrect
- 2. Do not remove this coverage. Need to bill.
- 3. Registration---Add Account Note
- 4. MOON Form Signature Attempt
- 5. Patient Level Coverage N/A for Today's Visit
