Healthcare Claim Preparation and Transmission
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | Under HIPAA, the newest format for EDI transactions to accommodate ICD-10-CM codes and additional data.
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| administrative code set | show 🗑
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| show | The person or organization (often a clearinghouse or billing service) sending a HIPAA claim, as distinct from the pay-to provider who receives payment.
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| show | Data entry area located in the upper right of the CMS-1500 that allows for a four-line address for the payer.
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| show | Documentation that a provider sends to a payer in support of a healthcare claim.
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| show | Unique number assigned to a healthcare claim by the sender.
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| claim filing indicator code | show 🗑
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| claim frequency code (claim submission reason code) | show 🗑
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| claim scrubber | show 🗑
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| clean claim | show 🗑
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| CMS-1500 | show 🗑
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| CMS-1500 (02/12) | show 🗑
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| condition code | show 🗑
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| data element | show 🗑
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| show | In HIPAA claims, the health plan receiving the claim.
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| show | Administrative code set used to report a physician’s specialty.
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| show | The form used to send a claim for physician services to both primary and secondary payers.
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| show | The standard electronic transaction to obtain information on the status of a claim.
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| individual relationship code | show 🗑
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| line item control number | show 🗑
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| National Uniform Claim Committee (NUCC) | show 🗑
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| show | Additional provider identification number supplied on a healthcare claim.
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| outside laboratory | show 🗑
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| pay-to provider | show 🗑
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| place of service (POS) code | show 🗑
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| qualifier | show 🗑
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| show | Term used to identify the physician or other medical professional who provides the procedure reported on a healthcare claim if other than the pay-to provider.
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| required data element | show 🗑
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| responsible party | show 🗑
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| service line information | show 🗑
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| situational data element | show 🗑
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To hide a column, click on the column name.
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You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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Created by:
verbre5173