Extended Procedure name & TaxID (TIN) No Eligibility Denied Sunshine HP 1-888- 656- 0701 Allow 24- 72 business hours ICR Bypass Physical Medicine; Therapy 100211 1-833- 409- 4473 Not Indicated Medicare, Medicaid, Exchange, Commercial Fidelis Care Resubmit Auth to HP Yes Harvard Pilgrim Health Care Monday- Friday 7am-7pm CST 3 Days Clinical Validation Required (CRV) 101049 Genetic Testing RadMD 30 seconds Facility Verification Queue 101182 100517 Wiki- HP Page- General Account Information Member's Name & DOB 100048 Wiki- HP Page- Authorization Information Eligibility Withdrawn Aux 4 WIKI Extended Procedure name & TaxID (TIN) No Eligibility Denied Sunshine HP 1-888- 656- 0701 Allow 24- 72 business hours ICR Bypass Physical Medicine; Therapy 100211 1-833- 409- 4473 Not Indicated Medicare, Medicaid, Exchange, Commercial Fidelis Care Resubmit Auth to HP Yes Harvard Pilgrim Health Care Monday- Friday 7am-7pm CST 3 Days Clinical Validation Required (CRV) 101049 Genetic Testing RadMD 30 seconds Facility Verification Queue 101182 100517 Wiki- HP Page- General Account Information Member's Name & DOB 100048 Wiki- HP Page- Authorization Information Eligibility Withdrawn Aux 4 WIKI
(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.
Extended
Procedure name & TaxID (TIN)
No
Eligibility Denied
Sunshine HP
1-888-656-0701
Allow 24-72 business hours
ICR Bypass
Physical Medicine; Therapy
100211
1-833-409-4473
Not Indicated
Medicare, Medicaid, Exchange, Commercial
Fidelis Care
Resubmit Auth to HP
Yes
Harvard Pilgrim Health Care
Monday-Friday 7am-7pm CST
3 Days
Clinical Validation Required (CRV)
101049
Genetic Testing
RadMD
30 seconds
Facility Verification Queue
101182
100517
Wiki- HP Page- General Account Information
Member's Name & DOB
100048
Wiki- HP Page- Authorization Information
Eligibility Withdrawn
Aux 4
WIKI