COGNOS

How do you access Cognos

• Lan ID

• NASCO ID

• FEPDirect ID

• TPX ID

What is Cognos used for?

• To view hard copy claims

• To view medical documentation

• To view electronic claims

• To see what's what for payment

What two sections do we use to utilize claims review?

• 278A

• 820

• 837P

• 837ID

• 835

Which utilization is used to view Facility Claims?

• 278I

• 834

• 837ID

• 837P

What code would you select to view Professional Claims?

• 837P

• Common

• 276/277

• 278R

What is the gateway ID number used to view the claim in Cognos

• ICN

• TFFSMMMLS

• Patient Name

• DOC#

How do you look up Facility Claim?

• DOC#

• Claim number and DOC#

• Claim number with year claim received

• Year claim received and DOC#

To view a new claim you must click on the ___ ____ and choose to view as ___, _____ or other ______

What report to we go into for Professional claims?

• ESD465/MSD 10701

• MSD 07701 - Daily ... Claim Error

• MSM 050 - Inbound ... Summary

• NEW MSD 0093A/ ...2013

What report to you click on the view facility claims after 2013?

• ESD 205 - Institutional Claim Audit Report

• ESD205 – New_Institutional Claim Audit Report

• ESD105S - Institutional Summary Report

• ESM 330 - Medicare Crossover Claim Inquiry