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Match it!
15
TC Claim Status : When a Provider calls and demands to speak to someone about payment.
Submit Claim Inquiry : Advised they are still waiting on payment on a claim that was mailed to us.
TC Scheduling Coordinator : When a Patient is returning the schedulers call to get scheduled and they are not available for transfer.
Scheduled Patient : What type of journal note do you use when the Adj/Cm/Provider advises the patient is scheduled for their Initial Evaluation?
Retro Request : Who do you TC-Contact when you need something done ( adding DOS, auth, D/C) on a referral in “Retro” status?
Post Referral : When the referral status is in pending auth and you receive authorization from the ADJ/CM, you would update the authorized visits in the referral and screen and then___ ?
"Auth Confirmation from Payor" : Under what journal entry do we note the info if an Adj/NCM sends in new authorization on a referral in "Evaluations Complete" or "Reauth"?
Visit Management : Whom do other teams ( Not VM )TC-Contact when an Adj/NCM advises they are Discharging a patient?
PayorUpdates@Alignnetworks.com : What e-mail address do you send all updated contact info for an Adj or NCM to?
Credentialing@alignnetworks.com : What e-mail address do you send all updated contact info for a Provider to?
Never : When do you TC- Contact or Email an Entire Department?
MD Contact : Whom do you TC-Contact if we need any documentation from the MD?
No one : Who do you email or TC contact when your call gets dropped or you receive a call that had been dropped?
EOB Request : Who do you TC-Contact when a Provider needs an EOB sent to them?
Visit Management : Who do you TC Contact when a SA VM Adj needs to be contacted?
Match it!
1. | Never | A. | Advised they are still waiting on payment on a claim that was mailed to us. |
2. | No one | B. | What e-mail address do you send all updated contact info for a Provider to? |
3. | MD Contact | C. | When do you TC- Contact or Email an Entire Department? |
4. | EOB Request | D. | Who do you TC-Contact when you need something done ( adding DOS, auth, D/C) on a referral in “Retro” status? |
5. | Post Referral | E. | When a Provider calls and demands to speak to someone about payment. |
6. | Retro Request | F. | When the referral status is in pending auth and you receive authorization from the ADJ/CM, you would update the authorized visits in the referral and screen and then___ ? |
7. | TC Claim Status | G. | Whom do other teams ( Not VM )TC-Contact when an Adj/NCM advises they are Discharging a patient? |
8. | Visit Management | H. | Who do you email or TC contact when your call gets dropped or you receive a call that had been dropped? |
9. | Visit Management | I. | Under what journal entry do we note the info if an Adj/NCM sends in new authorization on a referral in "Evaluations Complete" or "Reauth"? |
10. | Scheduled Patient | J. | What type of journal note do you use when the Adj/Cm/Provider advises the patient is scheduled for their Initial Evaluation? |
11. | Submit Claim Inquiry | K. | Whom do you TC-Contact if we need any documentation from the MD? |
12. | TC Scheduling Coordinator | L. | Who do you TC Contact when a SA VM Adj needs to be contacted? |
13. | "Auth Confirmation from Payor" | M. | What e-mail address do you send all updated contact info for an Adj or NCM to? |
14. | PayorUpdates@Alignnetworks.com | N. | When a Patient is returning the schedulers call to get scheduled and they are not available for transfer. |
15. | Credentialing@alignnetworks.com | O. | Who do you TC-Contact when a Provider needs an EOB sent to them? |
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PuzzleFast.com, Noncommercial Use Only
Match it!
1. | Never → C |
2. | No one → H |
3. | MD Contact → K |
4. | EOB Request → O |
5. | Post Referral → F |
6. | Retro Request → D |
7. | TC Claim Status → E |
8. | Visit Management → L |
9. | Visit Management → L |
10. | Scheduled Patient → J |
11. | Submit Claim Inquiry → A |
12. | TC Scheduling Coordinator → N |
13. | "Auth Confirmation from Payor" → I |
14. | PayorUpdates@Alignnetworks.com → M |
15. | Credentialing@alignnetworks.com → B |
© 2014
PuzzleFast.com, Noncommercial Use Only