ChangeClaimFormTypeEligibilityCPTCodeIDNumberInsuredTrainingAlderaSelfClaimEntryTotalFeeWorkflowEvolentAssignmentSVCDateTypeof BillFacilityClaimNumberDischargeDateHCPCSCodeHCPCSCodeReferralNDCNumberGAPProcedureCodeChangeClaimFormTypeEligibilityCPTCodeIDNumberInsuredTrainingAlderaSelfClaimEntryTotalFeeWorkflowEvolentAssignmentSVCDateTypeof BillFacilityClaimNumberDischargeDateHCPCSCodeHCPCSCodeReferralNDCNumberGAPProcedureCode

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. Change Claim Form Type
  2. Eligibility
  3. CPT Code
  4. ID Number
  5. Insured
  6. Training
  7. Aldera
  8. Self
  9. Claim Entry
  10. Total Fee
  11. Workflow
  12. Evolent
  13. Assignment
  14. SVC Date
  15. Type of Bill
  16. Facility
  17. Claim Number
  18. Discharge Date
  19. HCPCS Code
  20. HCPCS Code
  21. Referral
  22. NDC Number
  23. GAP
  24. Procedure Code