Host Quiz

The following are out of scope inquiry for West Host. Except?

• Benefits and Eligibility

• Medicare Crossover

• Claims rendered in CACONV

• Member Call

Enables Plans to communicate with each other regarding exceptions that arise during claims processing and requires a response from another Plan to complete the processing of a claim or adjustment.

• Job Aid Guide

• Blue Card

• General Inquiry

• Info Message

A 17 digit unique number assigned when the claim enters the ITS process.

• Claim Number

• DCN Number

• Service Request Number

• SCCF Number

CMS1500 Form is what the provider used for submitting?

• Facility Claim

• Professional Claim

• Out of State Claim

• Non Anthem Claim

The following is included in the Submission Format created by the Host Plan . except?

• Other Carrier Payments

• Provider Data

• Check Amount

• Host Plan Allowance