FidelisNYAppealsTeamBBISystemIssuesInjections/SurgeryMedicareAgentAdherenceAdjustmentFormCase islocked bypredictivedialer 5minutesYESC.A.R.NPINOValidityperiodextensionGeneticTestingHPProspectiveOverturnRPDenialsPT/OT/ST/CHIROLicensedclinicianor aboveBBIStatusGuideVoid previousapproval; CorrectlyCross Referenceboth tracking #’s;reach out in chatfor the upholdVerify allinformation,search by nameand D.O.B &Member ID, thenAdd memberLOBChangingOP on anexistingrequestInboundN/A toEvolentOutboundWIKIOACTINFidelisNYAppealsTeamBBISystemIssuesInjections/SurgeryMedicareAgentAdherenceAdjustmentFormCase islocked bypredictivedialer 5minutesYESC.A.R.NPINOValidityperiodextensionGeneticTestingHPProspectiveOverturnRPDenialsPT/OT/ST/CHIROLicensedclinicianor aboveBBIStatusGuideVoid previousapproval; CorrectlyCross Referenceboth tracking #’s;reach out in chatfor the upholdVerify allinformation,search by nameand D.O.B &Member ID, thenAdd memberLOBChangingOP on anexistingrequestInboundN/A toEvolentOutboundWIKIOACTIN

Evolent Legacy NIA - Call List

(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.


1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
  1. Fidelis NY
  2. Appeals Team
  3. BBI System Issues
  4. Injections/Surgery
  5. Medicare
  6. Agent Adherence Adjustment Form
  7. Case is locked by predictive dialer 5 minutes
  8. YES
  9. C.A.R.
  10. NPI
  11. NO
  12. Validity period extension
  13. Genetic Testing
  14. HP Prospective Overturn
  15. RP
  16. Denials
  17. PT/OT/ST/ CHIRO
  18. Licensed clinician or above
  19. BBI Status Guide
  20. Void previous approval; Correctly Cross Reference both tracking #’s; reach out in chat for the uphold
  21. Verify all information, search by name and D.O.B & Member ID, then Add member
  22. LOB
  23. Changing OP on an existing request
  24. Inbound
  25. N/A to Evolent
  26. Outbound
  27. WIKI
  28. OAC
  29. TIN