(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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Sunshine HP
Members can initiate their own prior authorization, except for which HP?
101182
What is the extension for NIA appeals department?
Aux 4
What Aux code should be used sparingly?
Medicaid, Medicare, Exchange, Commercial
What is the Line of Business' (LOB)
100211
Extensions for Physical Medicine Auth Department
WIKI- HP Page General Accounts
Where can you find the HP LOB
24-75 business hours
How long does it take for a HP to receive a Resubmitted request?
1-888-656-0701
What is the NIA appeals department fax #
Eligibility Denied
Member has a plan that was termed.
No
Can an authorization be given if the case is in Approval Recommendation?
100048
Extension for injection/surgery auth department.
Procedure Name & Tax ID
RP calls-After PHI verification what are the next two verifications.
3 Calendar days
How long is the validity period on an Urgent HMSA authorization?
Physical Medicine/Therapy
What product has home health as a place of service
Genetic testing
What product uses laboratory tests to check for diseases??
RadMD
What are the three ways authorizations are entered? Fax, Phone &________
Facility verification queue
What queue is for NON-Par RP verification
1-833-409-4473
What is the phone # for the interpreter/translator?
Resubmit auth to the HP
HP does not have authorization information.
Eligibility Withdrawn
Member has a plan that is N/A to NIA
101049
What is the extension for FSS Specialist?
extended
If an authorization hasn't been used, expired less then 60 days it can be?
Clinical Validation Required (CVR)
On existing cases what does the Blue check mark on a clipboard icon stand for?
Leads
Who can extend a Fidelis Imaging/Cardiac/RadONC case
Wiki- HP page Authorization Information
Where do you find the Auth. Validity period rule
100517
Extension for Genetic Testing auth department
M-F 7am-7pm ct
What is the call center Standard hours of operation?
30 seconds
Call is answered to music, how long do you wait for them to come on the line?
Member name & DOB
What are 2 PHI elements that MUST be verified?
