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WorksheetsNASCO commands - Claims
Total questions: 15
Worksheet time: 30mins
What is the COMMAND used to view a general list of claims when you have an ID#?
SS
IC
IH
PS
What COMMAND would you use when given the ICN# of a pending claim
SI
SL
IC
IH
What is the PARAMETER for looking up claims by their total charge?
BA
CT
DT
TS
What COMMAND would you put to list claims showing claim lines?
SL
SX
SS
SD
When inside a claim, which SEGMENT displays multiple claim lines?
ML
IN
PN
PI
Which PARAMETER would you use to search a claim by it's claim type?
CT
C4
DC
CD
What would be the command and parameter used to locate claim lines by their procedure code?
SL(ID#),PC(code)
SS(ID#),CD(code)
SX(ID#),DC(code)
SS(ID#),PI(code)
What COMMAND allows you to look at the claim history of a provider?
PV
PF
SP
PS
Which SEGMENT would you use to locate the Network Indicator (NETIND)?
GD
ML
HM
SI
When inside a claim, which SEGMENT would you use to get the subscriber's 3HZN#?
SI
PI
PN
ML
A member is requesting a list of claims for date of service 01/02/2019. What command and parameter would you use to find claims for that date?
SS(ID#),DD19
SS(ID#),DT01022019
SL(ID#),CD010219-010219
SS(ID#),DT010219-010219
Which Payee Code shows that we paid the provider?
J
M
What does claim type 88 represent?
PPO Professional Non Medicare
Local Professional Medicare
PPO Professional Medicare
PPO Facility Medicare
Local Facility Non Medicare
We need to look up all the claims for a member that denied with a message code of E240. What command and parameter would be used?
SS(ID#),CDE240
SX(ID#),PCE240
SS(ID#),MCE240
SS(ID#),MIE240
What command would you use if you wanted to look up the reason for message code M012 for a provider?
MIM012,4000
CDM012,1200
MIM012,1200
CDM012,2000
