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Common Action Codes Flashcards

1
Q

HRMG- INBOUND CALL

A

R81

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2
Q

HRMG - OUTBOUND CALL

A

R82

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3
Q

MEANS ACCOUNT HAS BEEN WORKED BY REP - (IF ACCT STATUS IS “ACT OR NEW”)

A

S86

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4
Q

READ MY NOTES “ WILL NOT CHANGE STATUS

A

H50

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5
Q

FOLLOW UP CATEGORY REMOVED

A

FCN

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6
Q

CELL PHONE NUMBER CALLED

A

H46

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7
Q

NON-ENGLISH SPEAKER CALLER

A

H64

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8
Q

PT/GRTR TRANSFERED TO SURVEY LINE

A

H12

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9
Q

PT/GRTR DECLINED SURVEY LINE

A

S33

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10
Q

PATIENT ACCOUNT REP ESCULATED CALL TO MANAGMENT

A

CEC

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11
Q

PATIENT CURSES/YELLS/HANGS UP ON REP

A

H44

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12
Q

VERIFIED RP/PT ADDRESS, DOB, AND CONTACT PHONE NUMBER

A

R80

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13
Q

PT/ GRTR PROVIDED AUTHORIZATION TO A THIRD PARTY

A

S14

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14
Q

PT DOES NOT WANT AUTO CALLS

A

H39

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15
Q

DO NOT CALL

A

DNC

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16
Q

PT/GAUR HAS OPTED IN TO RECIEVE EMAIL NOTIFS OF NOTICES

A

0I1

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17
Q

PT/GAUR HAS OPTED IN TO RECIEVE TEXT NOTIFS OF NOTICES

A

0I2

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18
Q

PT/GAUR HAS OPTED OUT TO RECIEVE EMAIL NOTIFS OF NOTICES

A

0I3

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19
Q

PT/GAUR HAS OPTED IN OUT RECIEVE TEXT NOTIFS OF NOTICES

A

0I4

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20
Q

RP/PT STTS THEY HAVE ALREADY PAID BAL IN FULL ( VERIFY PAYMENT)

A

H04

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21
Q

RP/PT STTS THEY HAVE ALREADY SENT PARTIAL PYMT ( VERIFY PAYMENT)

A

H19

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22
Q

RP/PT STTS THEY SENT/ WILL SEND PYMT WITHIN 7 DAYS - INCLUDING THROUGH MAIL

A

H67

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23
Q

RP/PT STTS WILL SET UP PP BUT NO PYMT TODAY - NOTE IT

A

S01

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24
Q

CC PAYMENT RECIEVED TODAY AND TRANSFER CALLER FOR PAYMENT

A

H36

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25
PT PAYING BAL WITH DISCOUNT OR SETTLEMENT TO BE USED WITH S01,H36, OR H67
293
26
REQUEST A SETTLEMENT
S77
27
RECIEVED REQUEST TO TRANSFER CREDIT BALANCE
H01
28
PAYMENT HAS BEEN REPORTED AND / OR VERIFIED, PMNT WILL BE APPLIED
H18
29
ADJUSTMENT HAS BEEN REPORTED AND WILL BE APPLIED TO ACCOUNT
H17
30
RP/PT SETS UP PP - MUST MAKE PAYMENT TODAY
H99
31
UMC PAYMENT PLAN
S70
32
PT IS ON A TEMPORARY PLAN
S51
33
PT/RP ESTABLISHED PP W/ CLIENT. VERIFY
H06
34
PT/RP REQUEST ACCOUNT TO BE COMBINED TO ONE ACCOUNT ( NOT ALL CLIENTS COMBINE)
H13
35
COMBINED ARRANGMENT / PP HAS BEEN ESTABLISHED (TIED ACCTS = ACCTS REMAIN SEPERATE BUT LINKED TOGETHER)
S92
36
RP/ INS STTS BAL IS INCORRECT
H14
37
ASKD RP/PT TO PROVIDE INS INFO - NEEDS TO CALL BACK WITH INFO
H45
38
TOOK INS INFO FOR BILLING - HOLD TO VALIDATE
H73
39
PT WILL FOLLOW UP WITH INS TO VERIFY RESPONSIBILITY
H95
40
REQUEST AN ITEMIZED BILL (IZ) OR SUMMARY BILL
S27
41
DUE TO ACCT SIPOSTION UNABLE TO APPLY S27
IBR
42
REQUEST FINANCIAL ASSITANCE/ PFAS APPLICATION/ CHARITY
S26
43
PT MAILED FINANCIAL ASST. APPLICATION - PATIENT MUST NOTIFY US
H05
44
PT/RP DENIED PFASX AND OR DENIED SENDING DOC FOR CONSIDERATION
S20
45
DISPUTE CHARGES HOLD, COMPLETE UW SCREEN ( RP/PT NEEDS TO SEND IN DISPUTE LETTER AND CALL US BACK WHEN MAILED) - PROVIDE REASON FOR DISPUTE
S21
46
PT/GRTR IS DISPUTING QUALITY OF CARE CHECK CLIENT PDF
S17
47
PT MAILED IN DISPUTE LETTER - PATIENT MUST NOTIFY
H28
48
LMTC BACK WITH PERSON WHO AMSWERED
H38
49
LMTC BACK ON ANS MACHINE
H40
50
RECIEVED BUSY SIGNAL
H41
51
UNABLE TO MAKE CONTACT
H42
52
WRONG OR INVALID NUMBER
H43
53
NO PHONE NUMBER AVALIBLE
H54
54
RETURNED CALL BACK REQUEST
H68
55
RECIEVED MAIL RETURN. SKIP TRACE NEEDED ON ACCT
H24
56
NO NEW ADDRESS FOUND, WILL GO BAD DEBT MAIL RETURN
SMR
57
IF ACCT IS BP STATUS BEFORE MRT- RE-SEND FINAL NOTICE
S57
58
WILL MAIL OUT SND AND FINAL NOTICE AFTER ADDRESS UPDATE
S10
59
DEMOGRAPHICS HAVE BEEN UPDATED
S95
60
PT/PR HAS PROVIDED UPDATED PHONE NUMBER
H56
61
OPTED IN FOR CLIENT PAYMENT PORTAL
H47
62
OPTED OUT FOR CLIENT PAYMENT PORTAL
H55
63
PAYMENT MADE ON CLIENT PORTAL
H71
64
ASSIGNED TO CLIENTS ONLINE PAYMENT PORTAL
H60
65
CLIENT PAYMENT PORTAL LINK SENT TO PT/GUAR
H93
66
EMAIL/TEXT LINK INQUIRY
CP1
67
ASSIST W/ PORTAL PMNT REQ
CP2
68
CLIENT PORTAL ISSUES
CP3
69
CLIENT PORTAL PMT INQUIRY
CP4
70
PT/ GUAR DECLINED CLIENT PORTAL
CP5

Action Codes (3 decks)

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