| Essentials | Facets Stuff | Hierarchy Fun | Potpourri and Jargon | Your Peers |
|---|---|---|---|---|
|
What is Cntrl + O
I open a claim in Facets
|
What is shift F8
I am the hotkey(s) that routes a claim in Facets
|
What is Eligibility
I am first in line
|
What is "harder"
Premera says: Work smarter not .....
|
What is "side eye"
I am what Amy will do if you ask a silly question
|
|
What is Summary Tab
What tab on the SF in Blue 2 would you send a message from
|
What is ITS Line Item Details tab
If I want to find the Host price for a claim line in Facets, what tab would I look at
|
What is step 3: Duplicate/Interim
If your claim has warning message 0015 present, what step does this pend code fall to?
|
What is Home tab and/or SCCF# History
Which tab do I need to ensure that I am in for Blue 2 so that I can research a SCCF#
|
Who is Tori Teal
Pinky is my new puppy
|
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What is the iHub "Briefcase"
This is where my "bookmarks" and apps live
|
What is the Price Calculation tab
If I want to find the copay rule for a claim line in Facets, what tab would I look at?
|
What is Benefits
P719 Claims fall into this category
|
What is disregard, or ignore, the PCA(s) that is present on the claim
When you bypass a PCA pend in Facets, what are you asking the system to do?
|
Who is Sam
Besides Amy, I am also from Kansas
|
|
What is the SMA search
I can plug in my warning message code to access my walkthrough or procedures
|
What is the COB button/field in line item screen
I check here for another possible coverage/carrier for our member in an OPEN claim
|
What is Provider or step #2
P705 falls into what hierarchy step
|
What is ITS Line Item Details tab
If I want to find the Host price for a claim line in Facets, what tab would I look at
|
Who is Rachel Beard
I used to be a director's assistant here at Premera before this class
|
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What is CIP or Green Report (secondary answer)
This is the name of the program that we use to pull our claims from each day
|
What is ALT + F4 or Cntrl + F4
I am the hotkey(s) that will close any open APPLICATIONS in Facets
|
What is 0015 (Duplicate/Interim), then 0090 (Subro), then COB.
I am overwhelmed by all my warnings! I have a 0090 and an interim warning, along with an error "COB is not required". Which order do these get worked?
|
What is General Inquiry
When needing information from the Host Plan, what type of message would you send
|
Who is Rachel Schroder
I have an adorable kitty named Audi who loves to help his momma work
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