Term
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Definition
| an insurance claim submitted on paper, including those optically scanned and coverted to an electrnic form by the insurance carrier |
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Term
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Definition
| insurance claim that has been canceled, deleted, or voided by a Medicare fiscal intermediary. |
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Term
| durable medical equipment number |
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Definition
| a group or individual provider number used when submitting bills for specific medical supplies, devices, and equipment to the Medicare fiscal intermediary for reimbursement. |
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Term
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Definition
| an individual's tax identification number issued by the federal government |
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Term
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Definition
| an insurance claim submitted to an insurance carrier that is discarded by the system because of a technical error(omission or emoneous information) or because it does not follow Medicare instructions. It is returned to the provider for correction |
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Term
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Definition
| insurance claims with no staples or highlighted areas. The bar code area has not been deformed |
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Term
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Definition
| a number assigned to a group of physicians submitting insurance claims under the group name and reporting income under one name |
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Term
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Definition
| a claim submitted with errors or one that requires manual processing to resolve problems or is rejected for payment |
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Term
| employer identification numbert |
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Definition
| an individual's federal tax identification number issued by the internal revenue services for income tax purposes |
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Term
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Definition
| Medicare claims not considered "clean" claims that require investigation or development on a prepayment basis to determine if Medicare is the primary or secondary carrier |
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Term
| national provider identifier |
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Definition
| a medicare li8fetime 10-digit number issued to providers when adopted, it will be recongized by Medicaid, Medicare, TRICARE, and CHAMPVA programs and eventually may be used by private insurance carriers |
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Term
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Definition
| an insurance claim held insuspense because of review or other reason. Those claims may be cleared for payment or denied |
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Term
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Definition
| Any Medicare claim that contains complete, necessary, info but is illogical or incorrect |
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Term
| intelligent character recognition |
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Definition
| same as optical character recognition |
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Term
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Definition
| a universal insurance claim form developed and approved by the AMA Council on Medical Services. |
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Term
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Definition
| a completed insurance claim form submitted within the program time limit that contains all the necessary info without deficiencies so that it can be processed and paid promptly |
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Term
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Definition
| a facility's(hospital, laboratory, radiology office, or nursing facility) provider number to be used by the facility to bill for services, or by the performing physician to report services done at that location |
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Term
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Definition
| an insurance claim submitted to the insurance carier via a central processing unit(CPU) tape, diskette, direct data entry, direct wire, dial-in telephone, digital fax, or personal computer download or upload |
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Term
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Definition
| a number issued to a physician who has passed the state medical examination indicating his or her right to practice medicine in the state where issued |
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Term
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Definition
| any Medicare claim missing necessary information |
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