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