FISSSCREENPG 04(USEDFOR?)MAMMOGRAPHYCERTIFICATION(FISS WHATPAGE?)BENEFITPERIOD(DAYS?)REVENUECODE(37X)5THLEVELAPPEAL(NAME)FLORIDACONTRATORNUMBER(GIVEJURISDICTION& #)PTAN(STANDSFOR/MEANING?)ELIGIBILITY(HOUSEDIN WHATSYSTEM?)RTP(MEANING?)3 INQUIRESPER CALLIOM(WHICHPUB?)CONDITIONALPAYMENT(MEANING)REVERSAL(MEANING?)UPDATEINFO IN FISS(USINGWHATVALUES?)BENEVERIFICATIONPRVN(MEANING?)HIMR(USEDFOR?)PROVIDERVERIFICATIONAFFIRMATION(MEANING)SNF 3RDDIGIT(CONSISTOF WHATNUMBER?)1STLEVELAPPEAL(NAME?)CLAIMS FORM(WHICH AREACCEPTABLE?)TOB 133(WHATIS?)HIMR-GHOD(MEANING?)ADACERTIFICATION(USED FOR?)FISSSCREENPG 04(USEDFOR?)MAMMOGRAPHYCERTIFICATION(FISS WHATPAGE?)BENEFITPERIOD(DAYS?)REVENUECODE(37X)5THLEVELAPPEAL(NAME)FLORIDACONTRATORNUMBER(GIVEJURISDICTION& #)PTAN(STANDSFOR/MEANING?)ELIGIBILITY(HOUSEDIN WHATSYSTEM?)RTP(MEANING?)3 INQUIRESPER CALLIOM(WHICHPUB?)CONDITIONALPAYMENT(MEANING)REVERSAL(MEANING?)UPDATEINFO IN FISS(USINGWHATVALUES?)BENEVERIFICATIONPRVN(MEANING?)HIMR(USEDFOR?)PROVIDERVERIFICATIONAFFIRMATION(MEANING)SNF 3RDDIGIT(CONSISTOF WHATNUMBER?)1STLEVELAPPEAL(NAME?)CLAIMS FORM(WHICH AREACCEPTABLE?)TOB 133(WHATIS?)HIMR-GHOD(MEANING?)ADACERTIFICATION(USED FOR?)

MEDICARE PART A - 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. FISS SCREEN PG 04 (USED FOR?)
  2. MAMMOGRAPHY CERTIFICATION (FISS WHAT PAGE?)
  3. BENEFIT PERIOD (DAYS?)
  4. REVENUE CODE (37X)
  5. 5TH LEVEL APPEAL (NAME)
  6. FLORIDA CONTRATOR NUMBER (GIVE JURISDICTION & #)
  7. PTAN (STANDS FOR/MEANING?)
  8. ELIGIBILITY (HOUSED IN WHAT SYSTEM?)
  9. RTP (MEANING?)
  10. 3 INQUIRES PER CALL IOM (WHICH PUB?)
  11. CONDITIONAL PAYMENT (MEANING)
  12. REVERSAL (MEANING?)
  13. UPDATE INFO IN FISS (USING WHAT VALUES?)
  14. BENE VERIFICATION
  15. PRVN (MEANING?)
  16. HIMR (USED FOR?)
  17. PROVIDER VERIFICATION
  18. AFFIRMATION (MEANING)
  19. SNF 3RD DIGIT (CONSIST OF WHAT NUMBER?)
  20. 1ST LEVEL APPEAL (NAME?)
  21. CLAIMS FORM (WHICH ARE ACCEPTABLE?)
  22. TOB 133 (WHAT IS?)
  23. HIMR- GHOD (MEANING?)
  24. ADA CERTIFICATION (USED FOR?)