PatientNameInsurancedidn't pay butitscoinsurance!!TimelyFilingand LOCMissingJ-CodeMedicare/MedicaidMentionedRxNovaGatekeeperRejectedItemizedBillEFTsNew YorkSurchargeClaimFSVInsurancePaidUB-04MinnesotaCare TaxClaimPharmacyEOBInsuranceNameNPITriageAllowedAmountCMS-1500BilledAmountCheckRequestFormPR2CoinsuranceProof ofPaymentDebitCardLoadPR1DeductibleCheckDate/EOBDateChecksDuplicateClaimPR3CopayEDIPayerIDBilled -Adjustment =Allowed Allowed - Paid= PRInsuranceLetterHIPAAViolationor MultiplepatientsPatientNameInsurancedidn't pay butitscoinsurance!!TimelyFilingand LOCMissingJ-CodeMedicare/MedicaidMentionedRxNovaGatekeeperRejectedItemizedBillEFTsNew YorkSurchargeClaimFSVInsurancePaidUB-04MinnesotaCare TaxClaimPharmacyEOBInsuranceNameNPITriageAllowedAmountCMS-1500BilledAmountCheckRequestFormPR2CoinsuranceProof ofPaymentDebitCardLoadPR1DeductibleCheckDate/EOBDateChecksDuplicateClaimPR3CopayEDIPayerIDBilled -Adjustment =Allowed Allowed - Paid= PRInsuranceLetterHIPAAViolationor Multiplepatients

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