ItemizedBillNew YorkSurchargeClaimPatientNameMinnesotaCare TaxClaimPR2CoinsuranceInsuranceLetterEDIPayerIDPR1DeductibleCheckDate/EOBDateInsurancePaidEFTsNPIDuplicateClaimBilledAmountPR3CopayChecksCMS-1500DebitCardLoadInsuranceNameBilled -Adjustment =Allowed Allowed - Paid= PRHIPAAViolationor MultiplepatientsAllowedAmountGatekeeperRejectedRxNovaPharmacyEOBTimelyFilingand LOCMedicare/MedicaidMentionedCheckRequestFormInsurancedidn't pay butitscoinsurance!!TriageFSVProof ofPaymentMissingJ-CodeUB-04ItemizedBillNew YorkSurchargeClaimPatientNameMinnesotaCare TaxClaimPR2CoinsuranceInsuranceLetterEDIPayerIDPR1DeductibleCheckDate/EOBDateInsurancePaidEFTsNPIDuplicateClaimBilledAmountPR3CopayChecksCMS-1500DebitCardLoadInsuranceNameBilled -Adjustment =Allowed Allowed - Paid= PRHIPAAViolationor MultiplepatientsAllowedAmountGatekeeperRejectedRxNovaPharmacyEOBTimelyFilingand LOCMedicare/MedicaidMentionedCheckRequestFormInsurancedidn't pay butitscoinsurance!!TriageFSVProof ofPaymentMissingJ-CodeUB-04

CRx Claims Bingo - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Itemized Bill
  2. New York Surcharge Claim
  3. Patient Name
  4. Minnesota Care Tax Claim
  5. PR2 Coinsurance
  6. Insurance Letter
  7. EDI Payer ID
  8. PR1 Deductible
  9. Check Date/EOB Date
  10. Insurance Paid
  11. EFTs
  12. NPI
  13. Duplicate Claim
  14. Billed Amount
  15. PR3 Copay
  16. Checks
  17. CMS-1500
  18. Debit Card Load
  19. Insurance Name
  20. Billed - Adjustment = Allowed Allowed - Paid = PR
  21. HIPAA Violation or Multiple patients
  22. Allowed Amount
  23. Gatekeeper Rejected
  24. Rx Nova
  25. Pharmacy EOB
  26. Timely Filing and LOC
  27. Medicare/ Medicaid Mentioned
  28. Check Request Form
  29. Insurance didn't pay but its coinsurance!!
  30. Triage
  31. FSV
  32. Proof of Payment
  33. Missing J-Code
  34. UB-04