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- Multiple ChoicePlease save your changes before editing any questions.
What does DOes do?
Pre -code
receive
distribute imaged forms
notify claimant that coordination of benefits is needed
- Multiple ChoicePlease save your changes before editing any questions.
Prompt pay legislation mandates that BCBCNC take..
Six of one actions within 30 calendar days
Two of Six actions within 30 calendar days
One of Six actions within 60 calendar days
One of six actions within 30 calendar days
- Multiple ChoicePlease save your changes before editing any questions.
Who receives an Explanation of payment (EOP)
Vendors
Providers
Members
Tamika
- Multiple ChoicePlease save your changes before editing any questions.
Is this claim number original or adjusted?
95-011215-021-74
original
Adjusted
- Multiple ChoicePlease save your changes before editing any questions.
A request for repayment by a member or provider for services rendered by a provider or supplier of medical supplies or equipment
Allowed amount
Appeal
Claim
Adjudication
- Multiple ChoicePlease save your changes before editing any questions.
Examples of a hold code
Special Pricing
Medical necessity
Membership problem
For electronic processing
- Multiple ChoicePlease save your changes before editing any questions.
The claims lines tab in service 1st can be used to find...
Providers name
Primary Diagnosis
Check #
Service code
- Multiple ChoicePlease save your changes before editing any questions.
Z34.03 is a..
Diagnosis code
Procedure code
- Multiple ChoicePlease save your changes before editing any questions.
When did the US health care transition the ICD edition
January 10, 2015
October 5, 2010
October 1, 2005
October 1, 2015
- Multiple ChoicePlease save your changes before editing any questions.
CMS 1500 is filed by?
Professional providers
Institutional providers
Members
Subscribers
- Multiple ChoicePlease save your changes before editing any questions.
75-99 is an adjusted claim?
True
False