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Action Codes > Common Action Codes > Flashcards

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
Q

PT PAYING BAL WITH DISCOUNT OR SETTLEMENT TO BE USED WITH S01,H36, OR H67

A

293

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26
Q

REQUEST A SETTLEMENT

A

S77

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27
Q

RECIEVED REQUEST TO TRANSFER CREDIT BALANCE

A

H01

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28
Q

PAYMENT HAS BEEN REPORTED AND / OR VERIFIED, PMNT WILL BE APPLIED

A

H18

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29
Q

ADJUSTMENT HAS BEEN REPORTED AND WILL BE APPLIED TO ACCOUNT

A

H17

30
Q

RP/PT SETS UP PP - MUST MAKE PAYMENT TODAY

A

H99

31
Q

UMC PAYMENT PLAN

A

S70

32
Q

PT IS ON A TEMPORARY PLAN

A

S51

33
Q

PT/RP ESTABLISHED PP W/ CLIENT. VERIFY

A

H06

34
Q

PT/RP REQUEST ACCOUNT TO BE COMBINED TO ONE ACCOUNT ( NOT ALL CLIENTS COMBINE)

A

H13

35
Q

COMBINED ARRANGMENT / PP HAS BEEN ESTABLISHED (TIED ACCTS = ACCTS REMAIN SEPERATE BUT LINKED TOGETHER)

A

S92

36
Q

RP/ INS STTS BAL IS INCORRECT

A

H14

37
Q

ASKD RP/PT TO PROVIDE INS INFO - NEEDS TO CALL BACK WITH INFO

A

H45

38
Q

TOOK INS INFO FOR BILLING - HOLD TO VALIDATE

A

H73

39
Q

PT WILL FOLLOW UP WITH INS TO VERIFY RESPONSIBILITY

A

H95

40
Q

REQUEST AN ITEMIZED BILL (IZ) OR SUMMARY BILL

A

S27

41
Q

DUE TO ACCT SIPOSTION UNABLE TO APPLY S27

A

IBR

42
Q

REQUEST FINANCIAL ASSITANCE/ PFAS APPLICATION/ CHARITY

A

S26

43
Q

PT MAILED FINANCIAL ASST. APPLICATION - PATIENT MUST NOTIFY US

A

H05

44
Q

PT/RP DENIED PFASX AND OR DENIED SENDING DOC FOR CONSIDERATION

A

S20

45
Q

DISPUTE CHARGES HOLD, COMPLETE UW SCREEN ( RP/PT NEEDS TO SEND IN DISPUTE LETTER AND CALL US BACK WHEN MAILED) - PROVIDE REASON FOR DISPUTE

A

S21

46
Q

PT/GRTR IS DISPUTING QUALITY OF CARE CHECK CLIENT PDF

A

S17

47
Q

PT MAILED IN DISPUTE LETTER - PATIENT MUST NOTIFY

A

H28

48
Q

LMTC BACK WITH PERSON WHO AMSWERED

A

H38

49
Q

LMTC BACK ON ANS MACHINE

A

H40

50
Q

RECIEVED BUSY SIGNAL

A

H41

51
Q

UNABLE TO MAKE CONTACT

A

H42

52
Q

WRONG OR INVALID NUMBER

A

H43

53
Q

NO PHONE NUMBER AVALIBLE

A

H54

54
Q

RETURNED CALL BACK REQUEST

A

H68

55
Q

RECIEVED MAIL RETURN. SKIP TRACE NEEDED ON ACCT

A

H24

56
Q

NO NEW ADDRESS FOUND, WILL GO BAD DEBT MAIL RETURN

A

SMR

57
Q

IF ACCT IS BP STATUS BEFORE MRT- RE-SEND FINAL NOTICE

A

S57

58
Q

WILL MAIL OUT SND AND FINAL NOTICE AFTER ADDRESS UPDATE

A

S10

59
Q

DEMOGRAPHICS HAVE BEEN UPDATED

A

S95

60
Q

PT/PR HAS PROVIDED UPDATED PHONE NUMBER

A

H56

61
Q

OPTED IN FOR CLIENT PAYMENT PORTAL

A

H47

62
Q

OPTED OUT FOR CLIENT PAYMENT PORTAL

A

H55

63
Q

PAYMENT MADE ON CLIENT PORTAL

A

H71

64
Q

ASSIGNED TO CLIENTS ONLINE PAYMENT PORTAL

A

H60

65
Q

CLIENT PAYMENT PORTAL LINK SENT TO PT/GUAR

A

H93

66
Q

EMAIL/TEXT LINK INQUIRY

A

CP1

67
Q

ASSIST W/ PORTAL PMNT REQ

A

CP2

68
Q

CLIENT PORTAL ISSUES

A

CP3

69
Q

CLIENT PORTAL PMT INQUIRY

A

CP4

70
Q

PT/ GUAR DECLINED CLIENT PORTAL

A

CP5

Action Codes (3 decks)

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