Validation overview

Which are the 3 pieces of information we ALWAYS need to validate an account?

Where can I possibly find the claim number?

• Remit, 835, EOB

• Artiva notes

• Correspondance

• All are correct

Where can I find the service dates? You can select more than 1 correct answer.

• Artiva

• Face Sheet

• Concuity

• None of the above

Where can we find the appeal shell?

• OnBase

• Artiva

• Concuity

• All of the above

What is the last step when validating an account?

• Update appeal shell

• Write note

• Change code in Artiva

• Determine if we have a valid denial

What happens if we have a note in Artiva that shows Claim # and denial for timely filing only?

• We validate the account

• We forward it to underpayments

• We remove the denial code

• We escalate account

Claim number is the same as ICN

• True

• False

Where can we find the Remits? Select all that apply.

• Artiva

• OnBase

• Billing history

• 835 tab in Concuity

When we remove a denial code, what happens with the appeal shell?

• We close it

• We leave it as it is

• We update disposition to OITR

• None of the above

Which root cause do we use when the claim was billed to the same payer 2 or more times?

• TFOII

• TFRBA

• TFNCI

• TFCCB