How do you view the Billing Status History Screen in ACE?

What action code do collectors use to enter an Activity Code?

How do you access the Payer Claim Summary Screen in Ace?

How do you access the 835 Claim Summary Screen?

On the Payer Claims Summary Screen/ F7/C0, how do you manually submit a request for Claim Status (Request a 276 for a 277 response)?

How do you verify if the “Tools for Health” (TFH Letter) has been scheduled or sent?

When is it appropriate to document an account? 

Financial Classes are two-digit codes indicating the current status of revenue.

When calling the Insurance Co. (payer) make sure to ask following information: Payer name/phone number, name of who you are speaking with, plan type, network being accessed, is plan self, fully or state funded, is facility INN or OON, how long for processing, can claim be escalated (if required), claim number, is there anything pending, denial reasons (if denied) and call reference number.

Financial Class “AN” describes what type of Revenue?

Which best describes Patient Type 7?

In ACE, which is the preferred method of updating your Pages/Lists?

In ACE, what Page/List combo allows you to view the IN1 information and Summary Notes?

In Ace, Transactions are found in what Page or List?

Corrective Actions (CA) are disposition codes used to indicate addition work effort is required in order to resolve the account. Which of the following example denials identify a Corrective Action?

1.       If an account has a dispute in a disposition “X”(CA0013-Expedited Med Rec Req) which is the next step to take on the account?

A denial was received from payer via EOB scanned in VI, denied ‘Not Medically Necessary’. What is the correct disposition to identify a true denial?

How do you confirm the Financial Screen (BU) has been verified?

When calling insurance or patient, Collector must state “This Call May be Monitored or Recorded for Quality Assurance“.

How do you access the “Account Summary Tool”?

From the Summary Notes List 07 you can search for Activity Code Notes by entering:

All of the following are displayed on the "Account Summary Tool" : Summary Screen, Financial Reconciliation Screen, Most Recent 277 Claim Status, Admitting Doctor, Last Bill Date

To check Eligibility in ACE (270 request) you enter F7/ VI what is the action code to view Eligibility responses (271 response).

Which best describes VI Web?

OnDemand is an application used to pull Reports, such as the Itemized Bill, UB04, RA’s and billing.

What Action key, in ACE, will pull the patients folder in VI Web?

What is the name of the tool that is connected in “real time “ with ACE and is an automated work listing tool in a web-based application for facility responses required to satisfy pre-bill, and disputes necessary to send bills and rebills to payers?

What activity code do you use to cancel a Rapid Response request from Facility Assignment?

When it determined that the Insurance Plan or Insurance Demographics require updating, what process do you follow when making these updates.

Request initial or rebill for secondary insurance with primary EOB/Remit only, what is the correct rebill activity code?

What is the activity code is used when payer confirms receipt of ADR (Additional Documents Requested)?

A collector is reviewing an account that was returned from Medicare, the patient's social security number is accessed for insurance verification. What Action/Activity code is entered to document the account?

If the account needs secondary billing, and is not in a secondary financial class and/or in the appropriate line of business, what process is required to update the account to the correct secondary FC for billing?

Which payer type is excluded from the "Tools for Health " (TFH letter) process?

If an account with a balance of $1500.00 does not qualify for the COB Vendor Process, how many letters/phone calls are required before you move the account to patient responsibility?

Mom and dad cover their children through each of their employer coverage plans, mom and dad have the same birthdays, but mom's coverage has been active longer. Whose plan would be primary?

What Activity code would a Collector use for additional lines/remarks continued if the 4 lines of remarks are exhausted?

When the Primary Insurance needs a corrected claim and attachments, what rebill code do you enter?

Workers Comp Primary Financial Classes are 30,39,83 and Secondary Financial Classes 27,59.