PROVIDER VERIFICATION 5TH LEVEL APPEAL (NAME) FISS SCREEN PG 04 (USED FOR?) SNF 3RD DIGIT (CONSIST OF WHAT NUMBER?) 3 INQUIRES PER CALL IOM (WHICH PUB?) HIMR- GHOD (MEANING?) ADA CERTIFICATION (USED FOR?) FLORIDA CONTRATOR NUMBER (GIVE JURISDICTION & #) UPDATE INFO IN FISS (USING WHAT VALUES?) BENE VERIFICATION BENEFIT PERIOD (DAYS?) PRVN (MEANING?) ELIGIBILITY (HOUSED IN WHAT SYSTEM?) AFFIRMATION (MEANING) CLAIMS FORM (WHICH ARE ACCEPTABLE?) RTP (MEANING?) TOB 133 (WHAT IS?) MAMMOGRAPHY CERTIFICATION (FISS WHAT PAGE?) REVENUE CODE (37X) REVERSAL (MEANING?) HIMR (USED FOR?) 1ST LEVEL APPEAL (NAME?) CONDITIONAL PAYMENT (MEANING) PTAN (STANDS FOR/MEANING?) PROVIDER VERIFICATION 5TH LEVEL APPEAL (NAME) FISS SCREEN PG 04 (USED FOR?) SNF 3RD DIGIT (CONSIST OF WHAT NUMBER?) 3 INQUIRES PER CALL IOM (WHICH PUB?) HIMR- GHOD (MEANING?) ADA CERTIFICATION (USED FOR?) FLORIDA CONTRATOR NUMBER (GIVE JURISDICTION & #) UPDATE INFO IN FISS (USING WHAT VALUES?) BENE VERIFICATION BENEFIT PERIOD (DAYS?) PRVN (MEANING?) ELIGIBILITY (HOUSED IN WHAT SYSTEM?) AFFIRMATION (MEANING) CLAIMS FORM (WHICH ARE ACCEPTABLE?) RTP (MEANING?) TOB 133 (WHAT IS?) MAMMOGRAPHY CERTIFICATION (FISS WHAT PAGE?) REVENUE CODE (37X) REVERSAL (MEANING?) HIMR (USED FOR?) 1ST LEVEL APPEAL (NAME?) CONDITIONAL PAYMENT (MEANING) PTAN (STANDS FOR/MEANING?)
(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.
PROVIDER VERIFICATION
5TH LEVEL APPEAL
(NAME)
FISS SCREEN
PG 04
(USED FOR?)
SNF 3RD DIGIT
(CONSIST OF WHAT NUMBER?)
3 INQUIRES PER CALL IOM
(WHICH PUB?)
HIMR- GHOD
(MEANING?)
ADA CERTIFICATION
(USED FOR?)
FLORIDA CONTRATOR NUMBER
(GIVE JURISDICTION & #)
UPDATE INFO IN FISS
(USING WHAT VALUES?)
BENE VERIFICATION
BENEFIT PERIOD (DAYS?)
PRVN
(MEANING?)
ELIGIBILITY
(HOUSED IN WHAT SYSTEM?)
AFFIRMATION
(MEANING)
CLAIMS FORM
(WHICH ARE ACCEPTABLE?)
RTP
(MEANING?)
TOB 133
(WHAT IS?)
MAMMOGRAPHY
CERTIFICATION
(FISS WHAT PAGE?)
REVENUE CODE
(37X)
REVERSAL
(MEANING?)
HIMR
(USED FOR?)
1ST LEVEL APPEAL
(NAME?)
CONDITIONAL PAYMENT
(MEANING)
PTAN
(STANDS FOR/MEANING?)