TotalFeeReferralIDNumberClaimNumberEvolentChangeClaimFormTypeInsuredNDCNumberProcedureCodeFacilityGAPHCPCSCodePatAcctNumberAdmitDateHyperlinkEligibilityTrainingValueCodeClaimEntryCPTCodeSelfClaimSearchDischargeDateCOBTotalFeeReferralIDNumberClaimNumberEvolentChangeClaimFormTypeInsuredNDCNumberProcedureCodeFacilityGAPHCPCSCodePatAcctNumberAdmitDateHyperlinkEligibilityTrainingValueCodeClaimEntryCPTCodeSelfClaimSearchDischargeDateCOB

Evolent 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. Total Fee
  2. Referral
  3. ID Number
  4. Claim Number
  5. Evolent
  6. Change Claim Form Type
  7. Insured
  8. NDC Number
  9. Procedure Code
  10. Facility
  11. GAP
  12. HCPCS Code
  13. Pat Acct Number
  14. Admit Date
  15. Hyperlink
  16. Eligibility
  17. Training
  18. Value Code
  19. Claim Entry
  20. CPT Code
  21. Self
  22. Claim Search
  23. Discharge Date
  24. COB