EOB Reflection

Decent Essays
April,

I have called in the past prior to me sending out the message and I was informed the same EOB that was online is all they have also and to see if the patient EOB was different. Based on the EOB we have on file and the EOB that UHC have on file it all show the same exact date which is why the copay company is not paying the additional date.

I call Ruth with UHC and left a voicemail but she is a register nurse therefore, she may not be able to provide me with a different EOB than what we currently have.

I do agree with you that everyone EOB should reflect the same exact thing but if we are not able to get an EOB that reflect each date of service the copay company will not process the other date of service.

Related Documents

  • Decent Essays

    Procedure to Procedure edit 50010/0213T indicated Misuse of column two codes with column one code meaning 50010 in column 1 is the code that should be bill and is payable. 0213T located in column 2 of the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) code table. The main reason beyond the implementation of the NCCI is to prevent improper payment in other words to prevent physicians, non-physician practitioners, and Ambulatory Surgery Centers from billing twice for one service or combining service that should not be billed at the same time on a patient CPT Code 50010 is used for Surgical Procedures on the Kidney while 0213T CPT Code. Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves…

    • 441 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    1. Please describe your knowledge of the Michigan Public Act 593 (PA593). My previous experience with the Michigan Public Act 593 includes direct working experience with the legislation as a claims examiner at Meridian Health. In addition, I was to complete the course “Legal Aspects for Health Services Organization” for the completion of my Masters in Health Service Administration.…

    • 488 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    The Uniform Bill-04 or UB-04 paper claim form which is used for billing, was established to combine all the claim forms which were once used by hospitals, this was to accommodate numerous diagnoses codes. However, the inpatient reporting differs from the outpatient reporting. Inpatient claims can consist of up to 22 diagnosis codes and 6 procedure codes, of the 22 only 1 admitting diagnosis is allowed, while the outpatient claims consist of up to 24 diagnosis codes with 3 of these codes representing the reason for the visit. In addition to inpatient diagnoses reporting, the present on admission (POA) data element is included to substantiate between conditions present at the time of admission and conditions which may cultivate during the patient’s…

    • 247 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    Cms 1500

    • 444 Words
    • 2 Pages

    The CMS 1500 and the UB04 are two types of claims forms used to submit charges for reimbursement. The UB04 (also called CMS 1450) is mainly used for facility claims, such as hospitals, surgery centers, and nursing homes. They cover both inpatient and outpatient charges, along with any associated with diagnostics, supplies, and lab work. This forms shows the “resources used” by the facility. When this form is submitted electronically, it is called the 837-I, with the “I” standing for Institutional.…

    • 444 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    VACAA Case Study

    • 1079 Words
    • 5 Pages

    After the wait-time scandal at the Arizona VA in 2014, the President Obama signed the law, the Veterans Access, Choice, and Accountability Act of 2014 (Public Law 113-146, “VACAA”) in order to improve access to health care for the Veterans in a timely manner with great bipartisan support (Branchely, 2014). This bill includes several initiatives to improve the current standards of care and decrease wait times. In order to urgently address the situation, the law recommends hiring more resources, introducing ways to promote timely care for Veterans, and increasing accountability. The section 101 of VACAA lists necessary details to bring some positive changes to the organization.…

    • 1079 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Mynexus Case Study

    • 196 Words
    • 1 Pages

    MyNEXUS has taken over managing the home health network in the state of GA for BCBS. The management of the authorization/case management was taken over by myNEXUS in June of this year. myNEXUS is currently moving all providers over to a new myNEXUS contract. The table shows our current HH rates, our proposed rates to myNEXUS and their counter. As, you can see their counter increases the rates for BCBS Commercial patients, however the counter from myNEXUS decreases the rates we will receive for Medicare patients and which is the bulk of our BCBS patients .…

    • 196 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Epidural Cart Checklist

    • 70 Words
    • 1 Pages

    Thank you for assisting us complete the epidural cart checklist. We really appreciate your efforts. Also, the difficult Air Way cart has been updated and approved. We worked in collaboration with the Respiratory department (RT). With regard to the Cricothyrotomy kit and the Anesthesia Alert Forms, please talk to y. To clarify for the Alert form, I asked X the CRNA…

    • 70 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    8.11.12 Reflection

    • 110 Words
    • 1 Pages

    8.11.12: It was reported to me by a student that Miss. Gomes placed him in a seat at the front of the room facing the wall were he could not see the board. He told me that when he moved to see she told him to not look at the board and could he not hear. After speaking with Mrs. Gomes she told me she did place him at the desk by the wall but he did not need to see the board she was just talking to the class. I contacted mom and let her know of the situation and that we would be keeping an eye on…

    • 110 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Healthcare insurance products and services are generally needed via law in order to send a copy of the EOB to be able to it is patients. It really is labeled as a medical claim summary or even medical summary notice…

    • 548 Words
    • 3 Pages
    Decent Essays
  • Great Essays

    Com 101 Reflection

    • 1770 Words
    • 8 Pages

    In August 2016, I was like a sapling new to this land. I tried to grow in the Sauder Business School. Now, after 4 months, I am now able to say that I have already taken root thanks to the course COMM 101 ---Business Fundamentals, which gave me overview and instructions about the business. That is how I drew this reflective mind map. The well-developed root system is what I learned from this course.…

    • 1770 Words
    • 8 Pages
    Great Essays
  • Decent Essays

    Mark Emmert Reflection

    • 340 Words
    • 2 Pages

    Mark Emmert alongside a female Indiana Law Professor talked to a small group of students, teachers, coaches, and adults. The conversation started with a few basic questions. The first being, “How are rules made and what is the process?” Emmert went on to talk about self-governance and how the universities themselves make their own rules and make their own decision on finances. The NCAA however, is broken down into 3 divisions and a collection of university presidents with sub-committees that make decisions on tournaments and revenue.…

    • 340 Words
    • 2 Pages
    Decent Essays
  • Superior Essays

    Technology Informatics Over the years, hospitals have worked hard to decrease the amount of post-discharge medication errors. According to Allison et al. (2015), electronic medication reconciliation is a system created to help medication inconsistencies. These electronic medication reconciliation handouts are now part of Joint Commission on Accreditation standard requirements.…

    • 1054 Words
    • 5 Pages
    Superior Essays
  • Improved Essays

    However, they might forget to make this modification. Consequently, the patient’s EHR will be wrong and the patients will be billed for a wrong diagnosis. Furthermore, this error will impede treatment for patients when a patient’s EHR is accessed from a different location…

    • 296 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Iep Reflection

    • 473 Words
    • 2 Pages

    Professor Terzynski, I thought I would share my experience and feelings of growing up with an IEP. I didn't realize all though school I had an IEP, instead I was told I was in the special education program for reading. I never did find out exactly why, but from my earliest memories of school I went to a special class for reading. Everyday in elementary school I was pulled from my normal class to go into a special instruction classroom for reading.…

    • 473 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Edtpa Self Reflection

    • 905 Words
    • 4 Pages

    U-ACT E,enetary Content reflections 1. a. For my edTPA I will being using lesson from the unit covering T Absolute True Diary of a Part-time Indian by Sherman Alexey, along with materials to prepare my students for the upcoming State Exam I feel this unit will allow the best opportunities to pull fair representations of my development as a teacher as well as opportunities to adapt/revise lessons to allow for student voices. Since this curricular unit will near its end and the material for the State Exam will be a review for the students, this should produce so exemplary models of student voice in the classroom. b.…

    • 905 Words
    • 4 Pages
    Superior Essays