Provider Training

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Across
  1. 3. Task What should be created for information given during a call (EVERY call)
  2. 4. number of pieces of information needed to verify member
  3. 5. How many status codes used regularly for claims
  4. 10. year days How long does a provider have to submit a claims appeal
  5. 11. Hospital Claim forms
  6. 12. Where to refer providers per claims payment (Medicare/Medicaid standards)
  7. 14. A Medicare Hospital Plan
  8. 15. Health Insurance Portability and Accountability Act
  9. 19. No financial obligation to insured
  10. 20. state that requires Taxonomy on claims
  11. 21. B Medicare Medical Plan
  12. 22. Evidence of Coverage
  13. 25. Provider who actually provides service
  14. 28. nines Used as default provider
  15. 29. Another name for Kentucky Medicaid
  16. 31. National Provider ID
  17. 33. Explanation of Benefits
  18. 34. Check claim status
Down
  1. 1. C Medicare Advantage/Supplemental
  2. 2. hundred eighty days days How long does a provider have to submit a clinical appeal
  3. 4. provider specialty
  4. 6. Help provider navigate provider portal
  5. 7. insurance My Care OH
  6. 8. Where Taxonomy would go on CMS 1500 claim forms if not in Box 33B
  7. 9. Claim What should be on a claim if a provider is resubmitting a claim
  8. 13. check OH dental claims
  9. 14. Authorization needed before services rendered
  10. 16. Dental
  11. 17. ID Can be used as call reference #
  12. 18. Affordable Care Act
  13. 23. Coordination of Benefits
  14. 24. Provider person/group getting paid
  15. 26. Provider Service Lifeline
  16. 27. Qualified Health Plan
  17. 30. OH Just for Me
  18. 32. Coordination of Benefits
  19. 34. Office Claim Forms
  20. 35. authorization obtained after services rendered