claim filing indicator code?
Claim filing indicator code:
It is the code which indicates the type of payment.
The following are the codes.
CODE |
MEANING |
09 |
Self-pay |
11 |
Other Non-Federal Programs |
12 |
Preferred Provider Organization (PPO) |
13 |
Point of Service (POS) |
14 |
Exclusive Provider Organization (EPO) |
15 |
Indemnity Insurance |
16 |
Health Maintenance Organization (HMO) Medicare Risk |
17 |
Dental Maintenance Organization |
AM |
Automobile Medical |
BL |
Blue Cross/ Blue Shield |
CH |
Champus |
CI |
Commercial Insurance CO. |
DS |
Disability |
FI |
Federal Employees Program |
HM |
Health Maintenance Organization |
LM |
Liability Medical |
MA |
Medicare Part A |
MB |
Medicare Part B |
MC |
Medicaid |
OF |
Other Federal program |
TV |
Title V |
VA |
Veterans Affairs Plan |
WC |
Workers’ Compensation Health Claim |
ZZ |
Mutually Defined |
7.6 Completing the HIPAA 837P Claim Provider Information 1. List the four types of providers. (2) Subscriber Information 2. How is the term subscriber used on the HIPAA 837P claim form? 3. Who is a responsible party? Claim Filing Indicator Code 4. What is a claim filing indicator code? When must it be used?! Relationship of Patient to Subscriber 5. What is an individual relationship code?
THINKING IT THROUGH 11.6 1. If a TRICARE participating provider is filing a claim for a patient who visited a facility in another city, should they file the claim based on the patient's home address or the address of the facility?
Question 11 (1 point) True or false: A couple cannot claim married filing jointly as their filing status if they were not married more than half of the taxable year. True False Question 12 (1 point) Josh took care of his 5 year old brother for 5 months in 2019. During that time, Josh provided all of the housing and support for his brother. His mother took care of his brother the rest of the year. What would Josh claim...
Claim Frequency Code 11. List the three types of claim frequency code. (3) Diagnosis Codes 12. How many diagnosis codes may be entered on the HIPAA 837P claim form? Claim Note 13. When is a claim note used? Service Line Information 14. Does the HIPAA 837P have the same elements as the CMS-1500 at the service line level? Diagnosis Code Pointers 15. How are diagnosis code pointers used on the HIPAA 837P claim form? Line Item Control Number 16. How...
Tobey was late in filing his federal income tax refund claim, but he requested an extension of the statute of limitations, citing the financial-disability exceptions of IRC § 6511(h). Tobey’s mother is chronically ill, and he must make four-day-a-week trips to another city to care for her. Will the IRS grant Tobey’s request?
Married couples filing jointly can claim exemption of $3,950 per person and they are allowed a standard deduction of $13,400. Polly and Steve had joint earned income of $18,600 this year, as they are both graduate students. Based on their status and income, Polly and Steve will satisfy the IRS rules if only one of them files a single return. are not required to file a tax return, but should do so if they are owed a refund. are required...
45 Which of the following taxpayers is eligible to claim the head of household filing status? Marks: 1 Choose one answer a. The taxpayer's boyfriend lived in the taxpayer's home all of 2018. The boyfriend qualifies as the taxpayer's dependent b. The unmanied taxpayer pays more than half the cost of keeping his father in an assisted living facility. The father qualifes as the taxpayer's dependent c. The taxpayers married child lived in the taxpayer's home for the entire year....
Design an excess-3 code converter to drive a seven-segment indicator. The four inputs to the converter circuit A, B, C, and Dasin Figure belowrepresent an excess-3 coded decimal digit. Assume that only input combinations representing the digits 0 through 9 can occur as inputs, so that the six unused combinations are don’tcares. Design your circuit using only two-, three-, and four-input NAND gates and inverters. Minimize the number of gates and invertersrequired.ThevariablesA,B,C,and Dwill be availablefromtoggle switches.
KEY TERMS MATCHING Match the definition with the correct term from the following word list. A. administrative code set B. billing provider C. carrier block D. claim attachment E. claim control number F. claim filing indicator code G. claim frequency code (claim submission reason code) H. claim scrubber I. clean claims J. CMS-1500 claim K. condition code L. data elements M. destination payer N. 5010 version O. HIPAA X12 276/277 Health Care Claim Status Inquiry/Response P. individual relationship code Q....
ULIUn information The first step in filing a claim with a third-party is a. verify all charges and fees. b. proof read the claim information. c. complete the precertification process. d. obtain accurate billing information from the patient. 30. Patients belonging to a MCO usually are required to get a referral from their_ before seeing a specialist a. HMO b. EPO с. РСР d. CMS Which of the following methods can be used to determine a patient's eligibility for insurance...