Scenario Based Quiz
- Claim not on file
- Claim in process
- Approved to pay
- Claim paid
- Claim paid & applied towards offset
- Claim paid to patient
- Claim applied towards deductible
- Patient cannot be identified
- Coverage terminated
- TFL Expired
- Authorization absent or missing
- Referral is absent or missing
- Maximum benefit exhausted/reached
- Non covered charges
- Non covered charges as provider is out of network
- Additional information requested from patient
- Globally inclusive to surgery/Globally inclusive
- Patient enrolled in hospice
- Primary paid more than secondary allowed amount
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DeleteFor CHARGES PREVIOUSLY CONSIDERED what to do?
ReplyDeletePlease provide complete details.
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DeletePlease give me enrollment related ANSI codes
ReplyDeleteBelow are a few of the enrollment-related ANSI codes but this is not all, there could be a few others.
DeleteB7, 183, 184, 185 & 299