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