Credit balance DEDUCTIBLE NON- PAR ABN Productivity Referral record Self- Pay ICD COMPLIANT MODIFIER Spreadsheet PCP Non covered Hospital TECHNICAL COMPONENT U of R EPIC Clinic REPLACEMENT claim CPT Nurse COINSURANCE PROFESSIONAL COMPONENT Medical necessity 1500 form Attachment CLEARINGHOUSE Denial TIMELY FILING GLOBAL COMPONENT Work- Queue's APPEAL Authorization PAR POS Tax ID Provider BUNDLED COB MEDICAID OP Note Coding GUARANTOR NON- COMPLIANT E/M WORKERS COMP NPI MEDICARE GLOBAL PERIOD SUPPLEMENTAL SUBSCRIBER COPAY COMMERCIAL INSURANCE EOB Credit balance DEDUCTIBLE NON- PAR ABN Productivity Referral record Self- Pay ICD COMPLIANT MODIFIER Spreadsheet PCP Non covered Hospital TECHNICAL COMPONENT U of R EPIC Clinic REPLACEMENT claim CPT Nurse COINSURANCE PROFESSIONAL COMPONENT Medical necessity 1500 form Attachment CLEARINGHOUSE Denial TIMELY FILING GLOBAL COMPONENT Work- Queue's APPEAL Authorization PAR POS Tax ID Provider BUNDLED COB MEDICAID OP Note Coding GUARANTOR NON- COMPLIANT E/M WORKERS COMP NPI MEDICARE GLOBAL PERIOD SUPPLEMENTAL SUBSCRIBER COPAY COMMERCIAL INSURANCE EOB
(Print)
Credit balance
DEDUCTIBLE
NON-PAR
ABN
Productivity
Referral record
Self-Pay
ICD
COMPLIANT
MODIFIER
Spreadsheet
PCP
Non covered
Hospital
TECHNICAL COMPONENT
U of R
EPIC
Clinic
REPLACEMENT claim
CPT
Nurse
COINSURANCE
PROFESSIONAL COMPONENT
Medical necessity
1500
form
Attachment
CLEARINGHOUSE
Denial
TIMELY FILING
GLOBAL COMPONENT
Work-Queue's
APPEAL
Authorization
PAR
POS
Tax ID
Provider
BUNDLED
COB
MEDICAID
OP Note
Coding
GUARANTOR
NON-COMPLIANT
E/M
WORKERS COMP
NPI
MEDICARE
GLOBAL PERIOD
SUPPLEMENTAL
SUBSCRIBER
COPAY
COMMERCIAL INSURANCE
EOB
