TEAM TREE

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Across
  1. 3. What will a Facility Claim have that a HCFA Claim won't have?
  2. 5. Jcodes
  3. 7. If you see an 837 it was submitted______
  4. 8. a software program that performs clinical editing.
  5. 11. the----- is the only person that can request a stop pay and reissue of a check
  6. 14. the system we use to find claim, providers, check info, and dme.
  7. 15. Facility doesn't have a POS. They have what?
  8. 18. What do you type in Bsession for check info?
  9. 20. Facility Claim
  10. 21. when we pay for benefits that should be paid by another insurance due to accidents
  11. 24. FEP is a ________ supplement policy.
  12. 25. Where can members get claim forms.
  13. 26. claim code Z0120
  14. 27. What code is required on a UB and a HFCA but not required on a Dental Claim?
  15. 28. Can we do pre-determination for Dental?
  16. 29. Professional Claim
Down
  1. 1. The 3-digit number sequence to determine the MM/DD of a claim number?
  2. 2. We require this summary notice for processing.
  3. 4. Patient Penalty
  4. 6. needs to be obtained before inpatient hospital stay.
  5. 8. What information can be found in check inquiry boa system but cannot see in Bsession?
  6. 9. What does a disposition code of 4 means.
  7. 10. this app assist with refund information .
  8. 12. When a member of medicare age but hasn't taken it.
  9. 13. members received this once a claim is processed. Hint: this states "this is not a bill"
  10. 16. Members only have to sign if it is _____ $200.
  11. 17. A claim that denies with a 305.
  12. 19. - what other system can we use to locate check information?
  13. 22. This Rep stands in the shoes of the Member?
  14. 23. Locate paper remittance and electronic EFT.