O- Note 47 Coverage Determination Itemized statement Tier 5 590 Yes Weight loss Medication LIS Anyone 2000 Fertility drugs Home Health Rx Value DME No RMHI EyeMed Medicare Part A Mail Tier 2 Tier 3 Medicare Part B Reimbursement form 20% 25 ED Medication Weight gain Medication Home Infusion AEP Email M3P TE Tier 4 RMIH Total Value Fax Member Prescription vitamins 2 OEP POA LEP 35 Medication Therapy Management O- Note 47 Coverage Determination Itemized statement Tier 5 590 Yes Weight loss Medication LIS Anyone 2000 Fertility drugs Home Health Rx Value DME No RMHI EyeMed Medicare Part A Mail Tier 2 Tier 3 Medicare Part B Reimbursement form 20% 25 ED Medication Weight gain Medication Home Infusion AEP Email M3P TE Tier 4 RMIH Total Value Fax Member Prescription vitamins 2 OEP POA LEP 35 Medication Therapy Management
(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.
O-Note
47
Coverage Determination
Itemized statement
Tier 5
590
Yes
Weight loss Medication
LIS
Anyone
2000
Fertility drugs
Home Health
Rx Value
DME
No
RMHI
EyeMed
Medicare Part A
Mail
Tier 2
Tier 3
Medicare Part B
Reimbursement form
20%
25
ED Medication
Weight gain Medication
Home Infusion
AEP
Email
M3P
TE
Tier 4
RMIH
Total Value
Fax
Member
Prescription vitamins
2
OEP
POA
LEP
35
Medication Therapy Management