Billed -Adjustment =Allowed Allowed - Paid= PRPR2CoinsuranceGatekeeperRejectedNPIHIPAAViolationor MultiplepatientsBilledAmountPharmacyEOBMissingJ-CodeCheckDate/EOBDateInsurancePaidInsuranceNamePR3CopayTriageDebitCardLoadPR1DeductibleItemizedBillMedicare/MedicaidMentionedRxNovaEFTsCMS-1500AllowedAmountInsuranceLetterUB-04PatientNameFSVNew YorkSurchargeClaimProof ofPaymentChecksTimelyFilingand LOCMinnesotaCare TaxClaimCheckRequestFormInsurancedidn't pay butitscoinsurance!!EDIPayerIDDuplicateClaimBilled -Adjustment =Allowed Allowed - Paid= PRPR2CoinsuranceGatekeeperRejectedNPIHIPAAViolationor MultiplepatientsBilledAmountPharmacyEOBMissingJ-CodeCheckDate/EOBDateInsurancePaidInsuranceNamePR3CopayTriageDebitCardLoadPR1DeductibleItemizedBillMedicare/MedicaidMentionedRxNovaEFTsCMS-1500AllowedAmountInsuranceLetterUB-04PatientNameFSVNew YorkSurchargeClaimProof ofPaymentChecksTimelyFilingand LOCMinnesotaCare TaxClaimCheckRequestFormInsurancedidn't pay butitscoinsurance!!EDIPayerIDDuplicateClaim

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