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WorksheetsHost Quiz
Total questions: 5
Worksheet time: 60secs
The following are out of scope inquiry for West Host. Except?
Benefits and Eligibility
Medicare Crossover
Claims rendered in CACONV
Member Call
Enables Plans to communicate with each other regarding exceptions that arise during claims processing and requires a response from another Plan to complete the processing of a claim or adjustment.
Job Aid Guide
Blue Card
General Inquiry
Info Message
A 17 digit unique number assigned when the claim enters the ITS process.
Claim Number
DCN Number
Service Request Number
SCCF Number
CMS1500 Form is what the provider used for submitting?
Facility Claim
Professional Claim
Out of State Claim
Non Anthem Claim
The following is included in the Submission Format created by the Host Plan . except?
Other Carrier Payments
Provider Data
Check Amount
Host Plan Allowance
