WorksheetsClaims
Total questions: 10
Worksheet time: 5mins
Melissa is a dependent on her parent's policy, according to the Birthday Rule, if her mother's dob is 7/7/77 and her father is the primary when is her father's dob?
7/7/79
7/7/76
1/12/80
7/7/77
True or False. Prompt Pay mandate requires that the insured be notified of a delay if a claim cannot be adjudicated within a 30-day period.
True
False
Using Claim# 05-061515-251-67, what number represents the Julian Date?
251
061515
67
None of the above
Which code is not used in a CMS-1500
Revenue Codes
Modifiers
ICD-9/10 Codes
POS Codes
Determining primary payment source when a 2nd insurance policy has financial liability is...
Claims Review
Authorization
Coordination of Benefits
Explanation of Benefits
Find the claim... Local claim, DOS: July 17, 2010 Electronic, Original
01-03015-0605-95
05-071710-028-70
27-071710-009-45
80-071710-288-12
File a Corrected claim when...
Claim never biled
Additional Info requested
EOP received with claim hold code ECN
What application group allows you to record, process, track, and run inquires on the hospital and medical claims?
Medical Claims
Claims Processing+ITS
Customer Service
ITS Application Support
If an appeal is not found in Care Radius, look in Webnow or DocRequest to see if it has been received...True or False
True
False
