Phase Two-Claims

Edit Answers
123456789101112131415161718192021222324252627
Across
  1. 1. Place of service
  2. 5. If claim is denied due to needing COB updated, where is it routed?
  3. 7. Type of bill
  4. 9. What do you press to show each individual lines on a facility claim
  5. 10. Where do you find provider's timely filing info?
  6. 14. Where do you refer the member for disputed claims process?
  7. 15. Date of service
  8. 16. Claim form for institutional facilities to bill inpatient and outpatient services
  9. 17. Claims can be submitted through a clearing house or what kind of vendor?
  10. 18. The first and second positions of a claim number represent what?
  11. 19. What does BFOG on a claim mean?
  12. 20. Only facilities can bill with these type of codes
  13. 21. What claim form does dental bill medical services?
  14. 23. This type of person can request duplicate copies of EOBs for that specific member
  15. 26. Payment DIR states IL - where is payment sent?
  16. 27. An asterisk (*) in the PAY field indicates what?
Down
  1. 2. Claims cannot be submitted using
  2. 3. Subscriber claims over $200 require
  3. 4. These are used to further identify the procedure performed
  4. 6. Check number is also referred to as (blank) number
  5. 8. What key do you press to toggle back and forth between the claims activity and history screens?
  6. 9. Where do you find member's FSA accumulators?
  7. 10. FEP's imaging vendor
  8. 11. What kind of codes start with E or I?
  9. 12. What is updated when high dollar claim received?
  10. 13. Where do you find Anthem360?
  11. 14. We already received money back
  12. 22. Formal provider appeal requests cannot be submitted via
  13. 24. What field are rejection codes found in streamline?
  14. 25. What screen will processed claims be shown on?